Established Patients Forms
If you are an established patient with us, we may ask you to update one or more of the following forms. Please download the requested form and submit the completed form to our office.
Please review the following documents to stay up-to-date on our office policies.
Cancellation Policy - We here at Smiles on Niles feel everyone's time is valuable. We request all cancellations or schedule changes are given with at least 24 hours notice. Last minutes cancellations or failures to show may result in a cancellation fee. Multiple offenses may result in dismissal from the practice.
Patient Privacy - We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice of Patient Privacy about our privacy practices, our legal duties, and your rights concerning your health information.