Customer service, peace of mind and a compassionate dental environment are core values for our dentist and team at our office. We want every aspect of your dental appointment in Jackson, Michigan, to be a positive experience. This includes preparing for your visit with Dr. Constance E. Smith. We have included our new patient forms on this page. You can download, print and fill out your forms, or you can complete our online forms using the Google Chrome browser.

By completing your paperwork prior to your visit, you will be able to fill them our in the privacy of your home or office and at your own pace. You will spend less time in our waiting room and more time with our team. Dr. Smith will also be able to review your medical history while designing your personalized course of treatment.

If you need assistance completing your forms, or if you would like to schedule your appointment, our team is here to help! Contact our office today at 517-787-7520.
 
Online Patient Form

Health History Form
Patient Forms
HIPAA Form
Notice of Privacy