Online Form

Fill out your patient forms securely and conveniently with our online forms below! When you complete these, they will be sent to our office right away so we can review them and make sure we are ready for your appointment.
Patient Forms


Downloadable Forms

By filling out our downloadable patient forms and bringing them with you for your visit with Dr. Smith in Vestavia Hills, Alabama, you can save time on your next visit. To fill out a form:

  • Click on the links below to download the forms to your computer
  • Print the forms
  • Fill out the forms, preferably with a black pen. Please print legibly.

Please call our office at Rocky Ridge Dental Associates if you have questions about the information needed on these forms. Our friendly team is always happy to help.

Patient Registration

Medical History

Dental History

HIPPA Privacy Act

Photographic Consent


Online Form