Camp Smile cares about your medical privacy.
1. Download and complete the correct registration form for your visit.
Pediatric Registration Forms
pediatric-registrationAdult (18 years or older) Orthodontic Registration Forms
adult-registration2. Email the completed forms to the office your child will be seen at:
Plymouth: [email protected]
Excelsior: [email protected]
Chaska: [email protected]
If you have questions about this form, please call us at 763-383-1788.
