New Patient Forms

 

 

Please Print and fill out the following forms and bring them with you to your “New Patient” appointment. If you have any questions regarding paper work or policies don’t hesitate to give the office a call at (406) 892-2104 and one of staff will be happy to assist you. Like yours, our time is valuable, so if you need to reschedule your appointment please call at least 24 hours in advance to make any changes.

Please print and complete the following new patient forms prior to your appointment:

Urgent Dental Care Forms

 

 

Please Print and fill out the following forms and bring them with you to your “Urgent Care New Patient” appointment. If you have any questions regarding paper work or policies don’t hesitate to give the office a call at (406) 314-6353 and one of staff will be happy to assist you. Like yours, our time is valuable, so if you need to reschedule your appointment please call at least 24 hours in advance to make any changes.

Please print and complete the following patient forms prior to your appointment:

Payment Options

 

 

We accept payment by Cash, Check, Debit, American Express, Discover, MasterCard, VISA or CareCredit.

*Clicking the above link to apply for Care Credit will take you off of the SmileMontana.com website and to the Care Credit website. All patient information entered is processed and stored by Care Credit (carecredit.com). Please read and agree to Care Credit’s communications consent, privacy policies and website agreement prior to submitting information.

Thank you for choosing Smile Montana Dental Center!