Beachwood Smiles

New Patient Forms

Downloadable patient forms that you can print and fill out before your next visit to Beachwood Smiles in Beachwood.

We like to make things easy for our patients, which is why we have provided downloadable PDFs of our most common patient forms. To save you time on your next visit to our Beachwood dental office, feel free to print and fill out the appropriate forms. We look forward to seeing you soon.

COVID-19 Consent

Please view and fill out this form prior to coming in for your next appointment. 

Patient Registration Form

Epworth Sleepiness Scale

Authorization to Release Health Care Information

Notice of Privacy Practices

Botox Consent Form

Pre Botox Instructions

Post Botox Instructions

Dermal Filler Consent Form

Pre Dermal Filler Instructions

Post Dermal Filler Instructions

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (216) 292-9920
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For important information regarding COVID-19, please click HERE