Patient Forms
Complete your paperwork before your visit to save time and ensure we have all the information needed to provide you with the best possible care.
Getting Started
Follow these simple steps to complete your patient forms efficiently.
1. Download Forms
Download the required forms for your appointment type. New patients should start with the essential forms below.
2. Complete Forms
Fill out all forms completely and accurately. Have your insurance cards and medication list ready for reference.
3. Bring to Appointment
Bring completed forms to your appointment along with your insurance cards and a valid photo ID.
How to Submit Your Forms
Choose the method that works best for you to get your completed forms to our office.
Bring to Appointment
Complete forms at home and bring them with you to your scheduled appointment.
- • Most convenient option
- • Arrive 15 minutes early
- • Bring insurance cards & ID
Email or Fax
Scan and email completed forms or fax them to our office before your visit.
- • Email: forms@alleghenysmiles.com
- • Fax: (412) 366-2756
- • Secure transmission
Complete at Office
Arrive early to complete forms at our office if you prefer not to do them at home.
- • Arrive 30 minutes early
- • Comfortable seating area
- • Staff available to help
Important Information
What to Bring
- Completed patient forms
- Valid photo ID (driver's license, passport)
- Insurance cards (dental and medical)
- List of current medications
- Previous dental records (if available)
Privacy & Security
- HIPAA compliant forms and processes
- Secure transmission and storage
- Information used only for treatment
- Patient privacy protection
- Confidential handling of all data
Need Help with Forms?
Our friendly staff is here to help you complete your paperwork and answer any questions you may have about the forms or your upcoming appointment.