We recognize that your time is valuable. We will make every attempt to see you at your scheduled appointment time.
To save time, download our New Patient Registration Form. This may be easily completed using your keyboard and mouse. Print the completed form and email it to us at laliyeva@drsmiles.az or bring it with you to your first appointment.
Documents
Patient medical history (PDF, 325kb)
Teeth whitening information consent form (PDF, 287kb)
Informed consent and permission Form for extractions (PDF, 195kb)
Dental treatment consent form (PDF, 482kb)
Implant patient information and consent form (PDF, 264kb)
Instructions for dental implant Surgery (PDF, 561kb)
Post-op instructions - tooth extraction (PDF, 226kb)
Dental Care Survey (PDF, 1067kb)
Payment Options
We accept VISA, MasterCard, American Express or Cash.