New Patient Forms

Here at Mountain West Smiles, we are always taking on new, happy patients.

We cannot wait to begin working with you in the near future! Save time waiting in our office by filling out the necessary initial patient forms online.


Our Montrose, CO office is happy to answer any questions, comments or concerns you may have; give our office a call at (970) 249-4249 for assistance.


New Patients


Please have the new patient forms completed and bring them with you to your appointment. Feel free to contact us with any questions or concerns that you might have. We look forward to meeting you!

New Patient Form

Policy Agreement form

HIPPA Statement

HIPPA Acknowledgement Form

Records Release Form

Payment Agreement Form

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