Patient Resources

Use the forms and documents below to prepare for your visit. You can complete them at your convenience and bring them with you.

Forms

[imedica_feature_boxes title=”Patient Information” style=”Style1″ box_min_height=”” border_width=”1″ enable_hover=”” icon=”Defaults-user” icon_size=”22″ button_link=”url:http%3A%2F%2Fsmilefred.wpengine.com%2Fwp-content%2Fuploads%2F2015%2F06%2FPatient_Information_Form.pdf|title:Download%20Form|target:%20_blank” el_class=”” bg_color_settings=”” bgcolor=”#ffffff” back_hover_color=”#ffffff” title_color_settings=”” titlecolor=”#025584″ titlehover_color=”” description_color_settings=”” descriptioncolor=”#48575b” bdescription_hover_color=”” icon_color_settings=”” icon_color=”#daddde” textcolor=”#025584″ border_color_settings=”” border_color=”” border_hover_color=”” button_color_settings=”” buttoncolor=”” button_hover_color=”” btn_title=”” btn_title_hover_color=”” fold_color_settings=”” main_title_typograpy=”” title_font_size=”19″ title_line_ht=”20″ main_desc_typograpy=”” desc_font_size=”13″ desc_line_ht=”20″ message=”Lorem ipsum dolor sit amet, consecte tur adipiscing elit. Ut eu nisl quis augue suscipit dignissim…” main_heading_font_family=”font_family:Open Sans|font_call:Open+Sans” desc_font_family=”font_family:Open Sans|font_call:Open+Sans” fold_bg_color=”#b8babc”]Please download this form, fill it out, and bring it to your first appointment.[/imedica_feature_boxes]
[imedica_feature_boxes title=”Notice of Privacy” style=”Style1″ box_min_height=”” border_width=”1″ enable_hover=”” icon=”Defaults-ban” icon_size=”22″ button_link=”url:http%3A%2F%2Fsmilefred.wpengine.com%2Fwp-content%2Fuploads%2F2015%2F06%2FNotice-of-Privacy-Practices.pdf|title:Download%20Form|target:%20_blank” el_class=”” bg_color_settings=”” bgcolor=”#ffffff” back_hover_color=”#ffffff” title_color_settings=”” titlecolor=”#025584″ titlehover_color=”” description_color_settings=”” descriptioncolor=”#48575b” bdescription_hover_color=”” icon_color_settings=”” icon_color=”#daddde” textcolor=”#025584″ border_color_settings=”” border_color=”” border_hover_color=”” button_color_settings=”” buttoncolor=”” button_hover_color=”” btn_title=”” btn_title_hover_color=”” fold_color_settings=”” main_title_typograpy=”” title_font_size=”19″ title_line_ht=”20″ main_desc_typograpy=”” desc_font_size=”13″ desc_line_ht=”20″ message=”Lorem ipsum dolor sit amet, consecte tur adipiscing elit. Ut eu nisl quis augue suscipit dignissim…” main_heading_font_family=”font_family:Open Sans|font_call:Open+Sans” desc_font_family=”font_family:Open Sans|font_call:Open+Sans” fold_bg_color=”#b8babc”]Please download this form, fill it out, and bring it with you to your first appointment.[/imedica_feature_boxes]
[imedica_feature_boxes title=”Conscious Sedation Consent” style=”Style1″ box_min_height=”” border_width=”1″ enable_hover=”” icon=”Defaults-moon-o” icon_size=”22″ button_link=”url:http%3A%2F%2Fsmilefred.wpengine.com%2Fwp-content%2Fuploads%2F2015%2F06%2Fsedation_consent_form.pdf|title:Download%20Form|target:%20_blank” el_class=”” bg_color_settings=”” bgcolor=”#ffffff” back_hover_color=”#ffffff” title_color_settings=”” titlecolor=”#025584″ titlehover_color=”” description_color_settings=”” descriptioncolor=”#48575b” bdescription_hover_color=”” icon_color_settings=”” icon_color=”#ffffff” textcolor=”#025584″ border_color_settings=”” border_color=”” border_hover_color=”” button_color_settings=”” buttoncolor=”” button_hover_color=”” btn_title=”” btn_title_hover_color=”” fold_color_settings=”” main_title_typograpy=”” title_font_size=”19″ title_line_ht=”20″ main_desc_typograpy=”” desc_font_size=”13″ desc_line_ht=”20″ message=”Lorem ipsum dolor sit amet, consecte tur adipiscing elit. Ut eu nisl quis augue suscipit dignissim…” main_heading_font_family=”font_family:Open Sans|font_call:Open+Sans” desc_font_family=”font_family:Open Sans|font_call:Open+Sans” fold_bg_color=”#daddde”]Please download this form, fill it out, and bring it to your conscious sedation appointment.[/imedica_feature_boxes]

Instructions

[imedica_feature_boxes title=”Temporaries” style=”Style1″ box_min_height=”” border_width=”1″ enable_hover=”” icon=”Defaults-clock-o” icon_size=”22″ button_link=”url:http%3A%2F%2Fsmilefred.wpengine.com%2Fwp-content%2Fuploads%2F2015%2F06%2Ftemporaries_instructions1.pdf|title:Download%20Instructions|target:%20_blank” el_class=”” bg_color_settings=”” bgcolor=”#ffffff” back_hover_color=”#ffffff” title_color_settings=”” titlecolor=”#025584″ titlehover_color=”” description_color_settings=”” descriptioncolor=”#48575b” bdescription_hover_color=”” icon_color_settings=”” icon_color=”#ffffff” textcolor=”#025584″ border_color_settings=”” border_color=”” border_hover_color=”” button_color_settings=”” buttoncolor=”” button_hover_color=”” btn_title=”” btn_title_hover_color=”” fold_color_settings=”” main_title_typograpy=”” title_font_size=”19″ title_line_ht=”20″ main_desc_typograpy=”” desc_font_size=”13″ desc_line_ht=”20″ message=”Lorem ipsum dolor sit amet, consecte tur adipiscing elit. Ut eu nisl quis augue suscipit dignissim…” main_heading_font_family=”font_family:Open Sans|font_call:Open+Sans” desc_font_family=”font_family:Open Sans|font_call:Open+Sans” fold_bg_color=”#daddde”]Please download these instructions to see the do’s and dont’s after having a temporary placed on your tooth.[/imedica_feature_boxes]
[imedica_feature_boxes title=”Pre & Post-Op Conscious Sedation” style=”Style1″ box_min_height=”” border_width=”1″ enable_hover=”” icon=”Defaults-moon-o” icon_size=”22″ button_link=”url:http%3A%2F%2Fsmilefred.wpengine.com%2Fwp-content%2Fuploads%2F2015%2F06%2Fpre_post_op_instructions.pdf|title:Download%20Instructions|target:%20_blank” el_class=”” bg_color_settings=”” bgcolor=”#ffffff” back_hover_color=”#ffffff” title_color_settings=”” titlecolor=”#025584″ titlehover_color=”” description_color_settings=”” descriptioncolor=”#48575b” bdescription_hover_color=”” icon_color_settings=”” icon_color=”#ffffff” textcolor=”#025584″ border_color_settings=”” border_color=”” border_hover_color=”” button_color_settings=”” buttoncolor=”” button_hover_color=”” btn_title=”” btn_title_hover_color=”” fold_color_settings=”” main_title_typograpy=”” title_font_size=”19″ title_line_ht=”20″ main_desc_typograpy=”” desc_font_size=”13″ desc_line_ht=”20″ message=”Lorem ipsum dolor sit amet, consecte tur adipiscing elit. Ut eu nisl quis augue suscipit dignissim…” main_heading_font_family=”font_family:Open Sans|font_call:Open+Sans” desc_font_family=”font_family:Open Sans|font_call:Open+Sans” fold_bg_color=”#daddde”]Please download these instructions about pre and post operation for conscious sedation.[/imedica_feature_boxes]
[imedica_feature_boxes title=”Post-Op Care Instructions” style=”Style1″ box_min_height=”” border_width=”1″ enable_hover=”” icon=”Defaults-home” icon_size=”22″ button_link=”url:http%3A%2F%2Fsmilefred.wpengine.com%2Fwp-content%2Fuploads%2F2015%2F06%2Fpost_op_home_care_form.pdf|title:Download%20Instructions|target:%20_blank” el_class=”” bg_color_settings=”” bgcolor=”#ffffff” back_hover_color=”#ffffff” title_color_settings=”” titlecolor=”#025584″ titlehover_color=”” description_color_settings=”” descriptioncolor=”#48575b” bdescription_hover_color=”” icon_color_settings=”” icon_color=”#ffffff” textcolor=”#025584″ border_color_settings=”” border_color=”” border_hover_color=”” button_color_settings=”” buttoncolor=”” button_hover_color=”” btn_title=”” btn_title_hover_color=”” fold_color_settings=”” main_title_typograpy=”” title_font_size=”19″ title_line_ht=”20″ main_desc_typograpy=”” desc_font_size=”13″ desc_line_ht=”20″ message=”Lorem ipsum dolor sit amet, consecte tur adipiscing elit. Ut eu nisl quis augue suscipit dignissim…” main_heading_font_family=”font_family:Open Sans|font_call:Open+Sans” desc_font_family=”font_family:Open Sans|font_call:Open+Sans” fold_bg_color=”#daddde”]Please download these instructions about post operation care for home.[/imedica_feature_boxes]
[imedica_feature_boxes title=”Interim Partials & Dentures” style=”Style1″ box_min_height=”” border_width=”1″ enable_hover=”” icon=”Defaults-smile-o” icon_size=”22″ button_link=”url:http%3A%2F%2Fsmilefred.wpengine.com%2Fwp-content%2Fuploads%2F2015%2F06%2Fpartials_and_dentures_form.pdf|title:Download%20Instructions|target:%20_blank” el_class=”” bg_color_settings=”” bgcolor=”#ffffff” back_hover_color=”#ffffff” title_color_settings=”” titlecolor=”#025584″ titlehover_color=”” description_color_settings=”” descriptioncolor=”#48575b” bdescription_hover_color=”” icon_color_settings=”” icon_color=”#ffffff” textcolor=”#025584″ border_color_settings=”” border_color=”” border_hover_color=”” button_color_settings=”” buttoncolor=”” button_hover_color=”” btn_title=”” btn_title_hover_color=”” fold_color_settings=”” main_title_typograpy=”” title_font_size=”19″ title_line_ht=”20″ main_desc_typograpy=”” desc_font_size=”13″ desc_line_ht=”20″ message=”Lorem ipsum dolor sit amet, consecte tur adipiscing elit. Ut eu nisl quis augue suscipit dignissim…” main_heading_font_family=”font_family:Open Sans|font_call:Open+Sans” desc_font_family=”font_family:Open Sans|font_call:Open+Sans” fold_bg_color=”#daddde”]Please download these instructions for care after interim partials and dentures.[/imedica_feature_boxes]
[imedica_feature_boxes title=”Post Surgical Instructions” style=”Style1″ box_min_height=”” border_width=”1″ enable_hover=”” icon=”Defaults-user-md” icon_size=”22″ button_link=”url:http%3A%2F%2Fsmilefred.wpengine.com%2Fwp-content%2Fuploads%2F2015%2F06%2Fpost_surgical_form.pdf|title:Download%20Instructions|target:%20_blank” el_class=”” bg_color_settings=”” bgcolor=”#ffffff” back_hover_color=”#ffffff” title_color_settings=”” titlecolor=”#025584″ titlehover_color=”” description_color_settings=”” descriptioncolor=”#48575b” bdescription_hover_color=”” icon_color_settings=”” icon_color=”#ffffff” textcolor=”#025584″ border_color_settings=”” border_color=”” border_hover_color=”” button_color_settings=”” buttoncolor=”” button_hover_color=”” btn_title=”” btn_title_hover_color=”” fold_color_settings=”” main_title_typograpy=”” title_font_size=”19″ title_line_ht=”20″ main_desc_typograpy=”” desc_font_size=”13″ desc_line_ht=”20″ message=”Lorem ipsum dolor sit amet, consecte tur adipiscing elit. Ut eu nisl quis augue suscipit dignissim…” main_heading_font_family=”font_family:Open Sans|font_call:Open+Sans” desc_font_family=”font_family:Open Sans|font_call:Open+Sans” fold_bg_color=”#daddde”]Please download these instructions about post surgery.[/imedica_feature_boxes]