AIOcclusal

Bright Smile Dental

Welcome! Please select an option below

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How can we help you today?

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Existing Patient

Check in for your appointment

Check In

✨

New Patient

Register and book appointment

Get Started

🚨

Dental Emergency

Need immediate attention? We're here to help

Emergency Check-In

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Existing Patient Check-In

We'll verify your information

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Verify Identity • Confirm Details • Complete Check-In

Phone Number

Date of Birth

Zip Code

Reason for Visit

Any changes since your last visit?

Insurance information

Address or contact info

Medical history

Medications

New Patient Registration

Welcome to our practice!

👋 Personal Information

First Name

Last Name

Phone Number

Email Address

Date of Birth

Gender

🏥 Insurance Information

Insurance Provider

Member ID

📋 Visit Information

Type of Visit

How did you hear about us?

I agree to the Terms & Conditions and Privacy Policy

I'd like to receive appointment reminders and dental health tips via email/SMS

🚨 Dental Emergency

We'll get you help immediately

⚠️ Important: If this is a life-threatening emergency, please call 911 immediately.

Full Name

Phone Number

Type of Emergency

Describe your emergency in detail

Pain Level (1-10)

When did this start?

We'll contact you within 15 minutes to schedule immediate care

✓

All Set!

Your check-in is complete

Appointment Confirmed

Date & Time

Today at 2:00 PM

Provider

Dr. Smith

Estimated Wait Time

15 minutes

📱 Confirmation Sent

A text message confirmation has been sent to your phone. Please have a seat and we'll call you when ready.