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Patient Forms

Once you schedule your first appointment with Healthy Smiles Dental you will receive a link via email and/or text to complete your new patient paperwork. If you prefer to fill the forms out on paper we have a printable PDF version available or you can arrive 20 minutes before your scheduled appointment to fill it out in office. Please remember to bring a list of current medications and a copy of your insurance card.

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.

Fax: 717-431-9731

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