The Smile Shoppe
The Smile Shoppe
Schedule Your Appointment Today!
(618) 654-9866
Find us on FacebookFollow The Smile Shoppe on Facebook!
Schedule Your Appointment Today!
(618) 654-9866
Find us on FacebookFollow The Smile Shoppe on Facebook!
The Smile Shoppe New Patient Information
The Smile Shoppe New Patient Information

We are happy you have chosen us as your dental healthcare provider! Below, you will find the forms that we would like for you to fill out prior to your appointment. Please download, print and complete the form.

Click Here to Download the Patient Forms.

When completed you may use the form below to upload a PDF of your fully-filled inĀ form or you may bring it to your appointment. Thank you in advance and we look forward to meeting you!

Patient Form Submission

  • Drop files here or
    Accepted file types: pdf.
The Smile Shoppe
The Smile Shoppe
The Smile Shoppe
1117 Washington St.
Highland, IL 62249
(618) 654-9866
Hours
Monday
7:00 a.m. - 3:00 p.m.
Tuesday
7:00 a.m. - 7:00 p.m.
Wednesday
7:00 a.m. - 7:00 p.m.
Thursday
7:00 a.m. - 3:00 p.m.
Recent News & Activities
© 2007-2018 The Smile Shoppe |   Sitemap
creative by BLOCKPLANEDESIGNS
© 2007-2018 The Smile Shoppe |   Sitemap
creative by BLOCKPLANEDESIGNS
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