Patient Forms

Downloadable patient forms that you can print and fill out before your next visit to Healthy Smiles of Birmingham in Birmingham.

We like to make things easy for our patients, which is why we have provided downloadable PDFs of our most common patient forms. To save you time on your next visit to our Birmingham dental office, feel free to print and fill out the appropriate forms. We look forward to seeing you soon.

Downloadable Forms


Printable Form Complete online form

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Birmingham, AL

100 Heatherbrooke Park Dr Suite A, Birmingham, AL 35242

Email: info@healthysmilesofbirmingham.com

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Office Hours

  • Monday8:00 am - 5:00 pm
  • Tuesday8:00 am - 5:00 pm
  • Wednesday8:00 am - 5:00 pm
  • Thursday8:00 am - 2:00 pm
  • FridayClosed
  • SaturdayClosed
  • SundayClosed
205.991.9535
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