Patient Forms

Save time by completing forms now!

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit.

Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can, and our staff will assist you with your questions on the day of your visit.

Patient Registration Form (English)

Patient Registration Form (Spanish)

Child Registration Form

If you do not have a copy of Acrobat Reader, you can get one for free by clicking on the icon ‘Get Acrobat® Reader.’ This will take you to Adobe’s website and enable you to download the Acrobat program to your computer.

Miami Dentist

For information about our services, or for questions about completing your necessary paperwork, please contact our office by calling (305) 595-4616.

Miami Designer Smiles welcomes patients of Miami and Coral Gables, Florida.