Patient Forms

Patient Forms in Hilliard, OH & Westerville, OH

Filling out paperwork is never an enjoyable task, but it’s even less so when you’re ready to meet your new dentist for the first time. Whether you visit our Hilliard, OH location or our Westerville, OH location, at Just Smiles we want to get you in as soon as possible to see our dentists! So we’re offering you the time-saving option of printing out your new patient paperwork here. Simply fill it out before your visit, bring it with you, and we’ll get you in to see one of our dentists right away.

For your convenience, your forms will be sent to you by email or text. If you prefer to print them and bring them to your appointment please see below.

In the meantime, our friendly staff is happy to help you with questions regarding these forms, your payment options, or anything else. Just call us at 614-363-0030 (Hilliard, OH) or 614-392-7109 (Westerville, OH). We can’t wait to meet you!


Text message is limited to 160 characters.


  1. Enter your Name.
  2. Enter your Cell Phone Number, area code first
  3. Enter your text message in the box.
  4. Select which office you want to text.
  5. Click "Send Text"
  6. A copy of this text will be sent to the office and to your cell phone. The office's reply will also be sent to your cell phone where you can continue the text conversation.
Note: Mobile message and data rates from your cell phone carrier may apply.Close ClickToCall Button
NagiosCheckValue - Do not remove please