Electronic and Downloadable Forms

Safe and secure electronic submission
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(913) 631-2677

For Referring Dentists: Referral Paperwork to Prosthodontist- Dr. Tracy Boldry

Patient Forms

New or Established Patient Paperwork

If this is your first time visiting Perfect Smiles Dental Care;Welcome to our Practice! Please choose one of 2 convenient ways to complete your new patient paperwork:

#1: Online Safe and Secure Electronic Submission. Complete the forms where and when you want prior to your appointment.
Arrive 5 – 10 minutes prior to your appointment time The forms are ready for you to sign when you arrive helping you minimize the amount of time in our waiting area.

#2: Fill out paperwork in our office. Please arrive 20-25 minutes prior to your scheduled appointment time. This will allow you time to fill out the paperwork and for our practice to process the information.

Request Records from Previous Dentist

If you are new to Perfect Smiles Dental Care and need to transfer your dental records from your previous dentist, click here to fill out the paperwork to complete this process. Please download and send to your previous dentist before you visit us

Release Records from Perfect Smiles Dental Care

If you need to transfer your records to a new dentist, we can easily accommodate this request and make your transition to a new dentists an easy and seamless process. Complete the form and we’ll get started right away. Please download and submit 7 days prior to seeing your new provider. 

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