Dr. Shelby Smith
Kids Love Us, Parents Trust Us.

New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

COVID 19 Prescreening Form

New Patient Forms

General Anesthesia Paperwork

Please fill out and return the following paperwork to our office at least one business day prior to your scheduled anesthesia date.

Oral Sedation Paperwork

Please fill out and return the following paperwork to our office at least one business day prior to your scheduled anesthesia date.

Dental Records Release

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (925) 755-5115
View the ADA Accessibility Statement
Click HERE to find out what we’re doing to keep you safe during COVID-19!