Request an Appointment
At Midland Dental Smile Solutions, we are dedicated to providing our patients with quality dental care in a warm and friendly way. If you need to book an appointment with us for any dental issues, please complete the form below. We will contact you shortly to confirm. Thank you, and we look forward to seeing you! Please complete the form below to request an appointment and we will contact you shortly to confirm.
Thank you, and we look forward to seeing you!
Request an Appointment eform
Forms
If you are a new patient at Midland Dental Smile Solutions, please expect to fill out three forms prior to your first appointment. You can download the PDFs from here. This will help our office staff get to know you better while staying in line with safety protocols. We thank you in advance for your cooperation.
We look forward to seeing you soon.
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Screening form
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Risk acknowledgment form
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Registration form
