301-868-2004
[email protected]

Patient Forms

Download Your Patient Form

Welcome to Potomac Smiles!

We're excited to have you join our dental family. To make your first visit as smooth and efficient as possible, we kindly ask you to download and complete our Patient Form prior to your appointment.

Easy Steps to Prepare for Your Visit:

  1. Download the Patient Form: Click the link below to access the form. This can be done on any device with internet access.

  2. Complete the Form at Your Convenience: Fill in the necessary details at a time that suits you. Our form is designed to be straightforward and user-friendly, ensuring you can provide us with all the essential information without any hassle.

  3. Save Time During Your Appointment: By completing the form in advance, you can enjoy a more relaxed and quicker check-in process on the day of your appointment. This allows us to focus more on your dental care and less on paperwork.

  4. Privacy and Security: Your privacy is paramount to us. Rest assured that your information is securely handled and is used solely for the purpose of providing you with the best dental care.

Download Patient Form
If you encounter any issues while downloading or completing the form, or if you have any questions, please don't hesitate to contact us. Our friendly team is always here to assist you! Thank you for choosing Potomac Smiles for your dental needs. We look forward to seeing you and providing you with a smile that shines!