Thank you for your interest in Special Smiles!

For all new patients, Special Smiles requires a screening/consultation appointment to determine if the patient is a candidate and what clearances each patient requires for the surgical treatment appointment. Patients must be referred to us from either a dental provider or a medical doctor for treatment under General Anesthesia.

Prior to scheduling the screening appointment we will need the following information:

• New Patient Intake Form
• Health History Form
• Referral from Dentist for Treatment under GA with Xrays or
• Letter of Necessity from Primary Care Physician

Referrals can be faxed to 267-639-6270 or emailed directly to our Screening Coordinator at i.gardner@specialsmilesltd.com.

Once Special Smiles receives the above requested information, you will be contacted by an associate to schedule the evaluation.

Feel free to contact us via phone at 267-639-6250 with questions.