New Patient Forms

The following forms are provided to our patients online for download. Please print and complete the forms and bring them to your appointment.

If you have questions about any of the paperwork, please give us a call at (719) 394-3304 and our staff will be happy to help you.

•	Motivators & Concerns
•	General Consent
•	HIPAA Consent
•	Financial Agreement
•	Appointment Agreement
•	Adult Form
•	Child Form

Come visit us soon

Visit our office and find out how we can improve your smile!

Request Appointment New Patient Forms

SmileCOS Dentistry

(719) 394-3304
1714 N. Circle Dr.
Colorado Springs, CO 80909-2409

Hours:

Mon - Tue: 8am - 6pm
Wed - Thur: 7am - 5:30pm
Fri: 7am - 3pm
Sat - Sun: Closed