Online Forms

For Your Convenience...

Smile ‘n Share It is committed to making your visits easy and efficient. With online records, you can register before your first appointment, then access account information any time, day or night, from anywhere! Here’s how it works:

• NEW PATIENT REGISTRATION – If you’re a new patient, and you already have an appointment scheduled please use this link to register with our practice before your first visit. You may also submit insurance forms, if applicable. If you prefer, you may print the forms, fill them out at your convenience, and then fax or mail them to our office prior to your appointment. Please be sure to schedule your appointment with our office before filling out these forms.

• PATIENT LOGIN - Current patients are given a username and password to access their account information online. You can check your balance, view the status of insurance claims, make payments, and more.

We take pride in bringing you the latest technology for your convenience, and we welcome the opportunity to serve you. Hope to see you soon!

Sincerely,

Richard D. Ragnell, D.D.S. and Staff