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Digital Forms

Please complete these digital forms before your first appointment.

Online Forms:

Patient Intake Form
Insurance Information
Medical History (Men)
Medical History (Women)
Medical History (Children)
HIPAA Consent
Records Release
COVID Questionnaire

Contact Information

Tel: 860-678-1140
info@smileavon.com
www.smileavon.com
32 East Main Street, Avon, CT 06001

Office Hours

Monday – 8:00 AM – 5:00 PM
Tuesday – 8:00 AM – 5:00 PM
Wednesday – 8:00 AM – 7:00 PM
Thursday – 8:00 AM – 5:00 PM
Friday – 8:00 AM – 12:00 PM
Saturday – Closed
Sunday – Closed

Keep in touch: