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New Patients

Prior to seeing each new patient, Young Smiles likes to have a little information about each patient. 

You can save time by printing the two forms below and fill them out prior to your first appointment. 

 

  1. You can print the form here and bring it with you on the day of your appointment, or

  2. You can fill it out in the office the day of your appointment (please arrive 15 minutes early).

Make an Appointment!
Find us

1218 Virginia St. E. Suite D
Charleston, WV 25301
info@youngsmileswv.com

Tel: 304-342-4422

© 2014 by Young Smiles.

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