PDF Registration

Camp Smile cares about your medical privacy.

1. Download and complete the correct registration form for your visit.

Pediatric Registration Forms


Download PDF

Adult (18 years or older) Orthodontic Registration Forms


Download PDF

2. 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.

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