New Patient Intake Forms

New Forms

Quick & Easy Registration

Save time before your first appointment at Smile Haven Dental in Morgan Hill by downloading and completing your new patient intake forms before your visit. Providing your details in advance helps us prepare for your appointment and ensures a smooth check-in process. Get started today for a hassle-free experience!

New Patient Forms

Thank you for choosing Smile Haven Dental for your dental care. To ensure a smooth and efficient visit, please download the form below and fill it out.

New Patient Forms

Fill out your intake forms quickly and securely to ensure a smooth and efficient check-in process at your visit.

Full Name

Date of Birth

Phone

Date

Emergency Contact

Insurance Provider & Policy Number

Medical Conditions & Allergies

Current Medications

Requested Services

Home Address

SunMonTueWedThuFriSat

27282930123456789101112131415161718192021222324252627282930311234567

SunMonTueWedThuFriSat

27282930123456789101112131415161718192021222324252627282930311234567

New Patient Intake Forms

New Forms

Quick & Easy Registration

New Patient Forms

New Patient Forms

Quick Links

Contact Information