PDF Registration

Camp Smile cares about your medical privacy.

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

Pediatric Registration Forms

pediatric-registration

Download PDF

Adult (18 years or older) Orthodontic Registration Forms

adult-registration

Download PDF

2. Email the completed forms to the office your child will be seen at:
Plymouth: plymouth@campsmile.com
Excelsior: excelsior@campsmile.com
Chaska: chaska@campsmile.com


If you have questions about this form, please call us at 763-383-1788.

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