New Patient Information
Patient Forms
Prior to your appointment at Walnut Street Smiles, we invite you to fill the Patient e-Form online or print and complete the downloadable patient forms. Please remember to bring the completed forms to your visit. If you have any questions about our forms or pain-free dentistry, please call our office.
Patient e-Form
Fill out the form online and submit it instantly.
Or
Completed forms can also be submitted via email to info@walnutstreetsmiles.com.
Payment Method
Below you will find important information for new patients visiting Walnut Street Smiles for the first time. You can save time by completing your forms in advance and bringing them with you to your appointment.
Accepted payment methods include:
- Cash
- Check
- American Express
- MasterCard
- Visa
- Discover
