First Time or Current

Patient Forms

At Smile Sarasota, we want to make sure that you and your family receive the best dental care available. That’s why we create personalized treatment plans for each one of our patients. In order to create these plans, Dr Adam Still will look at every detail available to determine which treatment is right for you.

New Patient

Complete online or download and print

Current Patient

Update health history and other forms

New Patient

When you come to our office for your first visit, you will need to fill out some basic patient forms with your information, so Dr Adam Still can better understand your case and what you need to get that smile you’ve always wanted. All of the initial forms can be found on our New Patient’s page.

New Patient Forms and Health History can be filled out and submitted online.

New Patient

New Patient Forms and Health History can be filled out and submitted online.

You must have an existing appointment to use the online forms.

Be sure to fill out and submit both the Health and Dental History form and the HIPAA Privacy forms.

Current Patient

Patients can download the necessary forms for dental record release requests, updating your health history, and our notice of privacy practices.

Forms can be downloaded and printed below.

Once you download and complete the appropriate forms, you can either mail them, fax them (941) 957-3310, or bring them with you to your next appointment.

Schedule an Appointment

It’s our goal to create healthy, radiant smiles through the quality general and cosmetic dentistry services and personalized care that Smile Sarasota has become known for. If you have any questions about treatment, or which forms you will need for your appointment, don’t hesitate to give us a call. Our experienced dentist, Dr Adam Still and friendly staff will guide you every step of the way and happily answer all of you questions.

We proudly offer our dental services to Sarasota, Longboat Key, the Rosemary District, St Armand’s Circle, and surrounding areas. We look forward to meeting you!

The forms above require Adobe Acrobat Reader to view, download and print. If you do not have Adobe Reader already installed on you computer, click the logo to download.

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