3805 Airport Boulevard, Mobile, Alabama 36608
Email: Office@SmileCenterMobile.com
Office Hours: Mon-Thur 8-5
Phone: 251.343.9998 | Fax: 251.343.9299

New Patient Registration Forms

We attempt to see you at your appointed time as much as possible since we believe your time is as valuable as ours. If you would like to save some time, download our New Patient Registration Form. This may be easily completed using your keyboard and mouse. Print the completed form and fax it to us or bring it with you to your first appointment.

To print our New Patient Registration Form, please click on the link above. You will need Acrobat Reader, which is a free software program available by clicking the Get Adobe Reader button below.