New Patient Forms

For your convenience, our New Patient Forms are available for download in Adobe PDF format. The Adobe Reader is FREE and can be downloaded by clicking on the icon below.

Please print and complete these forms at home before your first appointment. If you need assistance with downloading or printing these forms, please contact our office.

Don’t have Adobe Reader? Download free now!

I’m a busy mom of 4 so I really appreciate the text reminders about our upcoming appointments.
—WHITNEY
The best dental experience I’ve ever had because I slept through it. Sedation dentistry is the greatest thing ever.
—TODD
I was so blessed to have found you. Thank you for helping me so quickly.
—BRUCE
Dr. Hetland told me my new teeth would help me chew better and help relieve my jaw pain. What I didn’t know was that they would make me feel so much better about myself. I just can’t stop smiling. Thank you!
—ANITA
The Designer Smiles team is amazing. They took great care of my teeth when I didn’t and they did it without making me feel bad about all those years I neglected my teeth. I highly recommend them to EVERYONE!
—MILES
Thank you for taking the time to make just a great smile for an old gal like me. I look and feel 10 years younger!
—GLADYS
I had a great experience with Dr. Hetland and the whole staff at Desinger Smiles! I also had awesome results with the Six Month Smiles. Thank you for being so accommodating and enjoyable at all of my appointments!
—CARLY
Another wonderful experience today with Dr. Hetland and his staff. They truly care about your care and comfort. This was my second crown procedure in the past 3 years. They had great notes from the time before to ensure I did not feel any discomfort. Thanks for everything
—TERRY

Making smiles bright extends beyond the doors of Designer Smiles, especially each March through June when we proudly participate in the Smiles For Life campaign. During this time, 100 percent of the proceeds from teeth whitening procedures go to children’s charities, including right here in the F-M area. This year, we have selected Camp Sioux for Diabetic Children as the local charity of choice.

We make helping children and bright smiles easy—simply contact us to schedule your teeth whitening appointment. You get a brighter, whiter smile, and children get a reason to smile, as well. If you are already happy with your bright smile, simply ask about the other ways you can participate in helping children.