{{ name }}

Patient Forms

JBH Smiles Online Forms

At JBH Smiles, we offer patient forms online so you can complete them in the convenience of your own home or office. You may fill up the forms below.​​​​​​​

  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

PDF File
New Patient Form
If you are unable to fill out the forms above.
You may download our forms below. Please bring completed forms on your next visit.
PDF File
Patient Form (Child)
PDF File
Patient Form (Adult)
Helpful Articles
All Dental Services

We offer a wide variety of dental services to the Marietta community. Contact us with any questions about our services.

Keep In Touch

For non-urgent questions or to learn more about our services, contact us today!