Welcome! Here's what to expect
Your first visit should feel easy. Here's what to bring, a sample intake form you can fill out online, and answers to common questions.
What to bring
Photo ID
A driver license or other government-issued ID.
Insurance card
Dental and medical cards if you have them. We'll verify your benefits.
Previous X-rays
If you have recent dental X-rays, ask your old office to send them (or bring a copy).
Medication list
A list of current medications and allergies. (Bring it on paper, but please don't type it into this sample site.)
Your questions
Write down anything you're curious or nervous about. We love questions.
Arrive 10 minutes early
To finish paperwork, or complete the intake form below ahead of time.
No surprises, step by step
- Welcome & chat. We start by listening to your goals and concerns.
- Exam & X-rays. A gentle, thorough check, with images shown on screen.
- Cleaning (if time allows). Our hygienist removes buildup and polishes.
- Your plan. Clear options, priorities and a written cost estimate before any work.
New patient intake form
Bright Smile new patient form sample
2 pages · about 5 minutes · fill it out right here, save it, then print or download a copy.
Privacy note: this is a demo form. Use made-up information (a fictional practice can't protect real data). It asks for no medical history, and your answers are saved only in this browser.
You have a saved sample intake form
Thanks, ! Your form is saved.
Your sample intake form has been saved in this browser (a real office would securely submit it to us). You can download a copy or print it.
Common questions
Plan on about 60 to 75 minutes: a conversation, a full exam, digital X-rays if needed and a cleaning when time allows. We'll never rush you.
We work with most major PPO plans (a sample list is on the home page). Send us your plan details before your visit and we'll verify your benefits. For patients without insurance, we offer a sample membership plan.
You're in good company. Tell us when you book. We offer longer appointments, a signal to pause, noise-cancelling headphones, and nitrous oxide for comfort.
Yes! We recommend a first visit by age one. Kids' visits are short, playful and designed to build confidence.
Call our emergency line or book an Emergency visit online and we'll fit you in as soon as we can, often the same day. For severe swelling or trouble breathing, call 911.
Yes. Use the sample intake form above. In a real practice this would securely reach our system; in this demo it's saved only in your browser.
We accept major cards and HSA/FSA, and offer sample third-party financing for larger treatment. You'll get an estimate before any work begins.
We ask for 24 hours' notice to cancel or reschedule so we can offer the time to another patient. You can reschedule or cancel instantly from the scheduler's My appointments list.
Didn't find your answer? Send us a message or call xxx-xxx-xxxx.