Smart Dental Care
Emergency Dental
Care Available
1434 E 4500 S Ste 100
Holladay, UT 84117
801•272•8609
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Patient Forms

Click the links below to download our Patient Forms

New Patient Forms

Medical History

Patient Screening Form

Financial Agreement

HIPPA Notice of Privacy Practices

1434 E 4500 S Ste 100
Holladay, UT 84117

801-272-8609
Contact Us
Contact Us
Full Name
  • Smart Dental Care
    • Home
    • Meet Dr. Ashton
    • Meet Dr. Nguyen
    • Meet the Team
    • Dental Technology
    • Contact Us
  • Services
    • Cosmetic Dentistry
    • Family Dentistry
    • Clear Aligners in the Holladay Area
    • Crowns
    • Dental Implants
    • Dentures
    • Emergency Dentistry
    • Extractions
    • Root Canals
    • Relaxing Sedation Dentistry in Holladay, UT
    • Sleep Apnea Treatment in Holladay
    • Veneers
    • Professional Teeth Whitening in Holladay, UT
  • Patient Resources
    • Patient Testimonials
    • Patient Forms
    • Financial Policy
    • HIPAA Patient Privacy Practices
    • Privacy Policy
    • Accessibility
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NEW PATIENT OFFER

ONLY $70!

(savings of more than $200)

Dental Exam, X-Rays,
and Simple Cleaning

Just mention this offer when you call.

First time patients only. Cannot be used with dental insurance or combined with other incentives,
coupons, referral programs, or discounts. Offer ends 9/30/22

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