Shaw Family Smiles

New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

Patient Portal

Please select below to access our online patient portal for virtual forms and to edit your information. If you have difficulty accessing your account, you can print and complete the documents below.

Patient Medical Information Forms

General Consent

HIPPA Signature Page

Release of Records

HIPPA Policies

HIPPA Notice of Privacy Practices - for patient information only

Does not need to be completed/returned. See signature page above to acknowledge receipt.

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (508) 829-4909
View the ADA Accessibility Statement