The below patient forms can be printed and completed before your visit to Vital Smiles. Please bring the completed forms with you during your appointment.<\/p>\n
<\/p>[\/et_pb_text][et_pb_blurb title=”Patient Intake Form” url=”https:\/\/patientregistration.denticon.com\/?P=2883&O=200®PatID=0″ url_new_window=”on” use_icon=”on” font_icon=”||fa||900″ image_icon_width=”30px” _builder_version=”4.27.4″ _module_preset=”default” header_font_size=”23px” custom_margin=”||46px||false|false” link_option_url=”https:\/\/patientregistration.denticon.com\/?P=2883&O=200®PatID=0″ link_option_url_new_window=”on” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][\/et_pb_blurb][et_pb_blurb title=”Formulario de Information del Paciente” url=”https:\/\/www.vitalsmilesga.com\/wp-content\/uploads\/2025\/01\/VS_Patient_Information_Spanish-1.pdf” url_new_window=”on” use_icon=”on” font_icon=”||fa||900″ image_icon_width=”30px” _builder_version=”4.27.3″ _module_preset=”default” header_font_size=”22px” link_option_url=”https:\/\/www.vitalsmilesga.com\/wp-content\/uploads\/2025\/01\/VS_Patient_Information_Spanish-1.pdf” link_option_url_new_window=”on” global_colors_info=”{}”][\/et_pb_blurb][et_pb_blurb title=”Authorization for Treatment of Patient” url=”https:\/\/www.vitalsmilesga.com\/wp-content\/uploads\/2025\/01\/VS-Policy-for-treatment-_Span.-Eng.pdf” url_new_window=”on” use_icon=”on” font_icon=”||fa||900″ image_icon_width=”30px” _builder_version=”4.27.3″ _module_preset=”default” header_font_size=”23px” custom_margin=”||46px||false|false” link_option_url=”https:\/\/www.vitalsmilesga.com\/wp-content\/uploads\/2025\/01\/VS-Policy-for-treatment-_Span.-Eng.pdf” link_option_url_new_window=”on” global_colors_info=”{}”][\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”2_5,3_5″ make_equal=”on” disabled_on=”on|on|on” admin_label=”Online Forms” _builder_version=”4.17.4″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” disabled=”on” global_colors_info=”{}”][et_pb_column type=”2_5″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9mZWF0dXJlZF9pbWFnZSIsInNldHRpbmdzIjp7fX0=@” align=”center” disabled_on=”on|on|off” _builder_version=”4.17.4″ _dynamic_attributes=”src” _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][et_pb_column type=”3_5″ _builder_version=”4.16″ custom_padding=”|||” custom_css_main_element=”margin:auto” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Text” _builder_version=”4.17.4″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”]
The below patient forms can be completed online before your visit to Vital Smiles. Click the links below to get started!<\/p>\n
<\/p>[\/et_pb_text][et_pb_blurb title=”Patient Intake Form” url=”#” use_icon=”on” font_icon=”||fa||900″ _builder_version=”4.17.4″ _module_preset=”default” link_option_url=”#” global_colors_info=”{}”]
Click here to access our patient intake form to download, print, or complete ahead of time.<\/p>[\/et_pb_blurb][et_pb_blurb title=”Health History Form” url=”#” use_icon=”on” font_icon=”||fa||900″ _builder_version=”4.17.4″ _module_preset=”default” link_option_url=”#” global_colors_info=”{}”]
Click here to access our health history form to download, print, or complete ahead of time.<\/p>[\/et_pb_blurb][et_pb_blurb title=”Disclosure & Consent” url=”#” use_icon=”on” font_icon=”||fa||900″ _builder_version=”4.17.4″ _module_preset=”default” link_option_url=”#” global_colors_info=”{}”]
Click here to access our disclosure and consent form to download, print, or complete ahead of time.<\/p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ prev_background_color=”#ffffff” admin_label=”Inner Page Contact Section” module_id=”unap” _builder_version=”4.25.1″ _module_preset=”default” background_color=”gcid-bcab1de6-d518-42f8-9cd7-c94628301af0″ top_divider_style=”waves2″ top_divider_height=”34px” top_divider_flip=”vertical” global_module=”466″ saved_tabs=”all” global_colors_info=”{%22gcid-bcab1de6-d518-42f8-9cd7-c94628301af0%22:%91%22background_color%22%93}”][et_pb_row column_structure=”1_4,1_4,1_2″ make_equal=”on” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ _module_preset=”default” custom_css_main_element=”margin:auto;” global_colors_info=”{}”][et_pb_text _builder_version=”4.22.2″ _module_preset=”default” header_text_color=”gcid-07ae3e4c-7cf4-4952-a6be-6bc5a37884d6″ header_2_text_color=”gcid-07ae3e4c-7cf4-4952-a6be-6bc5a37884d6″ background_layout=”dark” global_colors_info=”{%22gcid-57e391fa-6857-4260-95ac-e00ad1d541a6%22:%91%22header_text_color%22,%22header_3_text_color%22,%22header_4_text_color%22,%22header_3_text_color%22,%22header_4_text_color%22%93,%22gcid-07ae3e4c-7cf4-4952-a6be-6bc5a37884d6%22:%91%22header_text_color%22,%22header_2_text_color%22%93}”]
6000 Singleton Rd, Suite 315<\/span>. (678) 806-7727<\/p>\n[\/et_pb_blurb][et_pb_blurb title=”Fax:” url=”fax:7702489130″ use_icon=”on” font_icon=”||divi||400″ icon_color=”#A6D71C” image_icon_width=”30px” admin_label=”Fax Light” _builder_version=”4.27.3″ _module_preset=”05e68c96-6017-4cdb-8ac1-e22d81800bca” header_font_size=”20px” link_option_url=”fax:7702489130″ global_module=”2919″ saved_tabs=”all” global_colors_info=”{%22gcid-07ae3e4c-7cf4-4952-a6be-6bc5a37884d6%22:%91%22header_text_color%22%93}”] (770) 248-9130<\/span><\/p>\n[\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” custom_css_main_element=”margin:auto;” global_colors_info=”{}”][et_pb_blurb title=”Hours” use_icon=”on” font_icon=”||fa||400″ icon_color=”#3B65B9″ image_icon_width=”30px” admin_label=”Hours Light” _builder_version=”4.27.3″ _module_preset=”05e68c96-6017-4cdb-8ac1-e22d81800bca” header_font_size=”20px” global_module=”491″ saved_tabs=”all” global_colors_info=”{}”] Monday: 9:00 AM – 5:00 PM Don’t want to spend fill out paperwork before your dental appointment? The below forms can be completed before your visit to Vital Smiles to reduce your stress in the dental office.<\/p>","protected":false},"author":2,"featured_media":3709,"parent":74,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-243","page","type-page","status-publish","has-post-thumbnail","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t
Norcross, GA 30093 USA<\/p>\n[\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ _module_preset=”default” custom_css_main_element=”margin:auto;” global_colors_info=”{}”][et_pb_blurb title=”Phone:” url=”tel:16788067727″ use_icon=”on” font_icon=”||fa||900″ icon_color=”#5CC8B8″ image_icon_background_color=”RGBA(255,255,255,0)” image_icon_width=”30px” admin_label=”Phone Light” _builder_version=”4.27.4″ _module_preset=”05e68c96-6017-4cdb-8ac1-e22d81800bca” header_font_size=”20px” link_option_url=”tel:16788067727″ global_module=”2918″ saved_tabs=”all” global_colors_info=”{}”]
Tuesday: 9:00 AM – 5:00 PM
Wednesday: 9:00 AM – 5:00 PM
Thursday: 9:00 AM – 5:00 PM
Friday: 9:00 AM – 5:00 PM
Saturday: Closed
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