Patient Forms

Welcome to the Smiles by Holsinger & Higgins family! We appreciate your interest in becoming a patient and are committed to making your visits pleasant and stress-free. In order to make your first appointment run smoothly, please complete the form below before coming for your first visit.

We look forward to seeing you soon!
The Smiles by Holsinger and Higgins team

Patient Forms

PDF Form
DocX Download

Patient Experience

We Know You're Looking for the Perfect Solution to Fit All of Your Dental Care Needs.

Your solution, however, isn’t to find the cheapest options possible. It’s to find a dentist who cares not just about one procedure that brings you into the office, but your overall health.  Whether you’re missing a single tooth or several, implants just might be the prosthetic option that you’re looking for. Ideal candidates will have sufficient jaw bone mass, healthy gums, and good overall health.

REQUEST YOUR CONSULTATION! CALL (410) 364-4922