New Patient/UPDATE Registration

Welcome to Smileboston!

New Patient Forms

Patient Registration

Current Patient Update

Health History Update Form

We look forward to exceeding your expectations with our Five-Star Smileboston Experience.

Please pre-register by filling out the secure online Patient Registration Form. After you have completed the form, be sure to press the “Complete and Send” button to automatically send us your information.

The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Do not fill out any information you do not feel comfortable sharing online. We will ask for it in person, if necessary.