New Patient Forms

New Patient Forms

Please take a moment to download and fill out our patient information form, then print them and bring them with you to your first appointment.

If you have any questions along the way, feel free to contact our office and we will be happy to assist you.

Adult Registration Form
Child Registration Form
Medical History Form
Financial Agreement

Refer a Friend and Save

Your referrals are one of the biggest compliments that we can receive. As our thank you, we’ll apply a $50 credit to your account or send you a $25 gift card when we see a new patient you refer for their first comprehensive appointment.

The best way to save on your dental care is to schedule routine preventive appointments and treat problems as soon as they’re diagnosed. Contact our Renton dentist today to schedule your next appointment.


Contact Renton Smiles


New Patient?