Patient Forms at Dr. Marrio Smiles

We want your first visit to Dr. Marrio Smiles to be as smooth as possible. By completing your patient forms ahead of time, you can skip the clipboard in the waiting room and spend more time focused on your care. Download the forms below, fill them out at your convenience, and bring them with you to your appointment.

New Patient Forms

New patients will need to complete the following forms before their first visit:

• Patient registration and contact information
• Medical and dental history
• Insurance information and authorization
• Consent for treatment
• HIPAA privacy acknowledgment

You are welcome to complete your paperwork when you arrive for your appointment. Please plan to arrive 15 minutes early to allow time for registration.

What to Bring to Your First Visit

• A valid photo ID
• Your dental insurance card
• A list of current medications
• Any previous dental records or X-rays, if available

Questions Before Your Visit?

Our front office team is happy to answer any questions about your upcoming appointment. Call us at 901-537-0077 or visit our contact page to reach either of our Memphis locations. For details about insurance and payment, see our financial options page.

Save Time at Your First Visit

Arrive 15 minutes early to complete your paperwork. It is one less thing to worry about so you can focus on your smile.