Four FORMS are provided for you
to download and fill in prior to your
child's visit to Crocodile Smiles Children's Dentistry.
Please bring the completed forms to your first appointment.

New Patient Forms
Please complete 1, 2, and 3, (plus 4 if applicable).
(1) Health History
(2) General Consent Form
(3) Financial Policy
(4) Questionaire for Parents of Patients with Special Needs

Forms are in PDF format
Just print them out and fill them in!
If you need a PDF reader,
please click here to download a free PDF reader.

New Patient Information (Please Read)
- Parent Letter
- Appointment Policy
- Children, Pediatric Dentistry and You
- Payment Policy
- Safety and Privacy

Thank you for choosing Crocodile Smiles Children's Dentistry for
your child's dental care. If you have any questions or concerns,
please call us at
(405) 636-1616.



© 2006 Crocodile Smiles Children’s Dentistry, PLLC 828 SW 66th St., Oklahoma City, OK 73139
Tel: (405) 636-1616 Fax: (405) 635-8781 Linea telefónica español: (405) 635-1616