New Patient Center
Welcome to Mississippi Smiles!
New Patients
Your child’s journey to dental health begins here at Mississippi Smiles. Our kid-friendly dentists are dedicated to delivering healthy smiles that last a lifetime. We are proud to serve Jackson, MS and the surrounding communities.
To schedule a new patient appointment at our award-winning office, please complete the forms below and review our privacy practices. If you prefer to complete these forms in person, please arrive 15 minutes prior to your scheduled appointment time.
Forms & Documents
- New Patient Form - English
- Designation of Consent Form - English
- Review of Privacy Practices - English
- Acknowledgement of Notice of Privacy Practices - English
Visiting our dental office
Your child’s journey to dental health begins here at Mississippi Smiles Dentistry. Our family-friendly dentists are dedicated to delivering healthy smiles that last a lifetime. We are proud to serve the Jackson, Mississippi communities and look forward to meeting you! All services are provided by MS licensed general dentists.