Patient Forms

Healthy Smiles Dental invites patients to complete their forms prior to their visit!

When you visit Healthy Smiles Dental, you will be asked to complete our patient forms. Please allow enough time to complete these before your appointment. As an added convenience we now offer online forms. If you are a new patient, please click on the New Patient Forms link below.


If you are an existing patient and would like to create a patient portal login to view appointment and forms please click on the link above. Thank you for choosing Healthy Smiles Dental. We look forward to serving you!

New Patient Paperwork & Instructions

*Please note that Dr. Kingston requires a completed health history update every two years

For any completed documents you may bring them to your appointment or send them via fax or email directly to our office.


Email: office@healthysmilesdentalpa.com
Fax: 717-431-9731

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