New Patient Forms

New Patients

Choosing a Dentist is a very critical decision and we understand that you have many choices available to you. We would like to say “Thank you” for giving us the opportunity to provide you with the best and highest quality of dentistry and professionalism.

In order that we may serve you better, and for your convenience, you can find all required forms below.
These forms can be completed online, printed and brought in on the day of your appointment.

If you prefer to complete your patient registration in our office, we would appreciate if you could please arrive 15 minutes prior to your appointment time. For patients coming from another dental office within the last year, please have your x-rays emailed to us from either your previous dental office directly or yourself. Please keep in mind that if we do not receive them prior to your appointment, you will be expected to have these x-rays taken here.  If no dental insurance coverage is available, you may have to pay out of pocket.  We require x-rays that are no more than 1 year old. We must have at least 4 bitewing x-rays and either a full mouth panoramic and/or a full mouth series of x-rays. If you have any questions about which x-rays are needed, please feel free to contact the office. We appreciate your understanding.

Patient referrals are always appreciated! If you’ve enjoyed your experience here at BCC Smiles and refer a friend or colleague, a complimentary Starbucks gift card awaits you!

Dental Emergencies

We understand how a dental emergency can be the most painful and uncomfortable experience anyone can go through. Therefore we try to do our best to squeeze in emergencies onto our schedule. If you are experiencing a dental emergency, please contact our office at (301) 652-5445.

Office Policy

To help answer or address any questions you might have about our office, we have made the BCC Smiles Office Policy available. If you have any questions please do not hesitate to contact us.