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SmileMD Consent Form


Helping Hand Form

Post OP Instructions

Pre OP Instructions

Case Day Binder

SmileMD Values Your Privacy:

To ensure the security of Patient Personal and Private Health and Financial Information, we provide this Secure Portal to exchange sensitive information between our Patients, Dental Provider Partners and Anesthesia Providers. 

For your convenience, you may login to complete forms, share medical history documents (as requested) and make secure case payments.  

Please do not hesitate to contact us should you have any questions or concerns. All requests made through the portal will be responded to within the next business day.

Thank you for trusting SmileMD as your Safe and Convenient Sedation Provider.

Contact SmileMD:

Phone - 614-420-0646
Secure Fax - 877-807-9547