Registration and Medical History

Please either complete the new patient registrion forms and submit them electronically through our secure online portal below, or download and complete the forms at the bottom of this page prior to your appointment and bring them to your first dental visit so we have complete information on how to best address your dental needs.

Downloadable Registration and Medical History Forms

If you prefer not to submit your registration via our secure online portal, you may download the following forms and bring the completed forms to your first appointment.

By providing you wireless phone number and/or email, you agree and give consent to receive communication from the office of Kyle A. Smits DDS PLLC via text message and/or email. If you choose to not receive text message or emails, please let us know so we can opt you out.