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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 and Lake St. Louis, Missouri. Feel free to contact our office if you have any questions.

View Patient Form

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3 Convenient Locations!

Lake St Louis


Lake St. Louis
1000 Lake St. Louis Blvd. Suite 135,
Lake St. Louis, MO 63367

(636) 625-3380

St Charles


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

(636) 723-6071

Dawn Dental


Dawn Dental of Lake St. Louis
191 Civic Center Dr.
Lake St. Louis, MO 63367