Patient Forms for Your First Visit to Our Summerville SC Dentist

For the convenience of our patients, Smile Center of Knightsville has provided the necessary patient forms you'll need to fill out for your first visit to our practice. This way, you can fill out the forms in the comfort of your own home, in your own time.


If you have any questions regarding the patient forms, or if you would like to schedule an appointment over the phone, feel free to give our team a call at (843) 261-0123 and our front desk staff will happily assist you.


New Patient, Notice of Privacy Practices, Authorization Forms

Appointment request
Need an appointment with a dentist in Summerville ? Requesting an appointment at our Summerville, SC family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with us today!
Patient Name*
Phone Number*
Email Address
Are you a current patient?
Best time(s) to call?
Preferred Appt Date
Preferred Appt Time
Describe the nature of your appointment or any other comments