Perfect Smiles of Bensalem Patient Forms

Patient forms give our office an opportunity to learn more about the state of your current oral health. They also help us process insurance claims and payments and make sure that we are addressing your specific dental care needs in the most effective way possible. Please arrive for your new patient appointment 15 minutes ahead of schedule, so you have time to fill them out. Alternatively, you can download and print them out yourself, then complete and bring them to our office to expedite your check-in process.

If you would like more information about Perfect Smiles and our patient services, please visit For patients.