• Home
  • About Us
    • About Us
    • Meet Our Team
  • Preventative Services
    • X-Rays/Examinations
    • Routine Cleanings
    • Deep Cleanings
    • Fee Schedule
  • Cosmetic Services
    • Advanced Whitening
    • Botox and Dermal Fillers
    • Tooth Gems
    • Fee Schedule
  • Appointments
    • Appointments
  • Forms
    • Forms
  • More
    • Home
    • About Us
      • About Us
      • Meet Our Team
    • Preventative Services
      • X-Rays/Examinations
      • Routine Cleanings
      • Deep Cleanings
      • Fee Schedule
    • Cosmetic Services
      • Advanced Whitening
      • Botox and Dermal Fillers
      • Tooth Gems
      • Fee Schedule
    • Appointments
      • Appointments
    • Forms
      • Forms
  • Home
  • About Us
    • About Us
    • Meet Our Team
  • Preventative Services
    • X-Rays/Examinations
    • Routine Cleanings
    • Deep Cleanings
    • Fee Schedule
  • Cosmetic Services
    • Advanced Whitening
    • Botox and Dermal Fillers
    • Tooth Gems
    • Fee Schedule
  • Appointments
    • Appointments
  • Forms
    • Forms

The Smile Shop

The Smile ShopThe Smile ShopThe Smile Shop

Smile In confidence

Smile In confidenceSmile In confidence

Welcome to The Smile Shop

We'd like to welcome you to our dental spa and all that it has to offer. To establish care, we ask that you fill out the following forms (Patient Intake Forms, Informed Consent and HIPAA), or arrive 15 minutes early to complete them. You can send them electronically via our secure email address at : TheSmileShop@proton.me or bring them at your initial visit.


Below, you will find all of our forms. This includes new patient intake forms: patient intake form (medical/dental history), informed consent and HIPAA. You will also find forms for specialized treatments such as whitening and Botox/fillers. These only need to be completed prior to these services specifically. All forms can be sent electronically or in person. If you have any questions, please contact us at the email provided above or (509) 342-6146.

Contact Us

Forms

Patient Intake Forms (pdf)Download
Informed Consent (pdf)Download
HIPAA (pdf)Download
Philips Zoom Whitening Informed Consent (pdf)Download
Botox and Dermal Fillers Informed Consent (pdf)Download

Copyright © 2026 The Smile Shop - All Rights Reserved.

Powered by

New Year, New Smile!

Celebrate the New Year with a nice bright smile! From Dec. 31 to Jan. 31 all whitening services are 15% off!

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept