New Patient Forms

If you have children who want to sail the seven seas at Treasured Smiles Children’s Dentistry, then you can prepare for their first visit with Dr. Clouse by completing their new patient forms online. We look forward to helping care for your child’s smile!

If you are a parent or guardian filling out forms for your child, please sign with your child’s info, not your own. Click below to get started!

New Patient Forms