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Patient Forms

To save you time at My Smile Center, our dentist has listed our patient forms online! Before meeting with Dr. Jack D. Griffin Jr. , you can download and submit your forms from the comfort of your own home. Rather than dealing with the stress of completing your forms in the waiting room, you can arrive, feeling completely at-ease, knowing that you have already completed your patient forms.

These patient forms are available for our dental offices in St. Charles, Missouri. Feel free to contact our office if you have any questions.

View Patient Form
Online Patient Form

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St Charles


St. Charles
1 Westbury St., Bld. C 310,
St. Charles, MO 63301

(636) 723-6071