Patient Forms — Southport Smiles Dentistry, P.C.

Posts by Legwork Websites

COVID-19 PreScreen Form

Dental History Legwork Websites May 19, 2020

Dental History

Dental History Legwork Websites December 9, 2019

Insurance Information

Insurance Information Legwork Websites December 8, 2019

Authorizations and Acknowledgments

Authorization/Acknowledge Legwork Websites December 7, 2019

Communication Release

Communication Release Legwork Websites December 6, 2019

Patient Information

Patient Information Legwork Websites December 5, 2019

Medical History

Medical History Legwork Websites December 4, 2019

Visit Us

Southport Smiles Dentistry
8 John Street
Southport, CT 06890

Contact Us

Book Appointment

Hours of Operation

             
               Mon - Wed:
               8am - 5pm
              
               Thur:
               8am - 4pm
              
               Fri:
               7am - 2pm
              
               2nd & 4th Sat:
               8am - 1pm

Accessibility Statement Privacy Policy
Happiness Delivered by Legwork

Contact Now

Call Schedule Directions