Patient forms
Consent forms
Download and complete these forms before your appointment to save time.
How to Submit Forms
1Contact our office at 303-988-6860 to request forms
2Complete all required forms before your appointment
3Bring completed forms with you, or email them to Lakewoodsmilesco@gmail.com
Available Forms
Consent Form for Dental Examination and X-rays
General consent for dental examination and radiographic imaging.
Download FormConsent for Composite (White) Fillings
Consent form for tooth-colored composite resin filling procedures.
Download FormConsent for Amalgam (Silver) Fillings
Consent form for traditional silver amalgam filling procedures.
Download FormConsent for Endodontic Treatment
Consent for root canal therapy and related endodontic procedures.
Download FormConsent for Crowns and Bridges
Consent for dental crown and bridge restoration procedures.
Download FormConsent for Prophylaxis (Cleaning)
Consent for professional teeth cleaning and prophylaxis procedures.
Download FormConsent for Scaling and Root Planing
Consent for deep cleaning procedure to treat gum disease.
Download FormConsent for Complete and Partial Dentures
Consent for removable denture fabrication and fitting.
Download FormConsent Form for Pediatric Dentistry
Special consent form for dental treatment of children and minors.
Download FormNew Patient?
Welcome to Lakewood Smiles! We're excited to have you join our dental family. To help us serve you better, please:
- Arrive 15 minutes early for your first appointment
- Bring your insurance card and photo ID
- List all current medications
- Bring any dental X-rays from your previous dentist (if available)
Frequently Asked Questions
Do I need to complete forms if I'm an existing patient?
We ask all patients to review and update their medical history annually or if there have been any changes to your health, medications, or insurance.
Can I fill out forms at the office?
Yes, but we recommend completing forms beforehand to minimize your wait time and allow us to prepare for your appointment.
How do I get copies of my dental records?
Please contact our office at 303-988-6860. We can provide copies of your records upon request, typically within 3-5 business days.
Questions About Forms?
Our friendly staff is here to help you with any questions.