301-663-9484 
301-663-9509
New Patients
At Family Smile Center we value your time and your privacy. We've provided copies of our new patient information forms for you to download, print, and complete at home. You may bring them into our office during your next visit. They will not be stored or sent online, but are offered here simply for your convenience. Family Smile Center follows Federal HIPAA requirements for maintaining patient privacy and healthcare portability. You may also Schedule an appointment online now
- New Patient Information Form (over 18 years of age)
- Pediatric Patient Information Form (under 18 years of age)
- About Financial Arrangements »
- Privacy Policy
Office Related Forms
Consent Forms
- Nitrous Oxide
- Root Canal Treatment
- Wisdom Teeth Removal
- Orthodontic Consent Form
- Implants
- Extractions
- Connective Tissue Graft
- Apical Surgery
- Zoom Tooth Whitening Treatment
Waiver Forms
Ortho Appliance Forms
Post-op Instruction
- Gum Graft
- After Oral Surgery
- After Scaling & Root Planing
- Temporary Crown
- Final Crown
- Root Canal
- Temporary Inlay
- Zoom Maintenance
Other Office Documents
Other Procedures We Offer
Super friendly and competent staff! The work was painless and fast, I relieved a fantastic goody bag and tips to improve my dental care at home. I would definitely recommend it to a friend :)
~ Jillian D. – Frederick
