{"id":1950,"date":"2020-06-04T15:28:38","date_gmt":"2020-06-04T15:28:38","guid":{"rendered":"https:\/\/smilemn.com\/?page_id=1950"},"modified":"2024-06-04T11:17:28","modified_gmt":"2024-06-04T15:17:28","slug":"forms","status":"publish","type":"page","link":"https:\/\/smilemn.com\/cerritos\/forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][nectar_btn size=&#8221;jumbo&#8221; button_style=&#8221;regular&#8221; button_color_2=&#8221;Accent-Color&#8221; icon_family=&#8221;none&#8221; text=&#8221;DOWNLOAD FORMS&#8221; url=&#8221;www.smilemn.com\/FORMS\/&#8221;][\/vc_column][\/vc_row][vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][vc_column_text]\n<h1><a href=\"https:\/\/smilemn.com\/cerritos\/wp-content\/uploads\/2020\/03\/Patient-Registration-Form.pdf\">New patient forms<\/a><\/h1>\n<p>&nbsp;<\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">Thank you for choosing Gentle Dentistry! You may have been asked to complete Gentle Dentistry\u2019s Patient Registration, Health History and HIPAA Privacy agreement electronically prior to visiting our clinic. These forms are needed for all patients new to Gentle Dentistry, as well as existing patients with outdated records or major medical changes. If you need the forms, download them from the link at the top of this page.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">Once completed, please email the forms to the respective clinic you are planning to visit (listed below). All clinic emails are secure and private.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">Thank you, and we look forward to seeing you soon!<u><\/u><u><\/u><\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\"><u><\/u>\u00a0<u><\/u><\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">Alexandria, MN \u2013\u00a0<a href=\"mailto:alexandria@smilemn.com\" target=\"_blank\" rel=\"noopener noreferrer\">alexandria@smilemn.com<\/a><u><\/u><u><\/u><\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">Coon Rapids, MN \u2013\u00a0<a href=\"mailto:coonrapids@smilemn.com\" target=\"_blank\" rel=\"noopener noreferrer\">coonrapids@smilemn.com<\/a><u><\/u><u><\/u><\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">Cottage Grove, MN \u2013\u00a0<a href=\"mailto:cottagegrove@smilemn.com\" target=\"_blank\" rel=\"noopener noreferrer\">cottagegrove@smilemn.com<\/a><u><\/u><u><\/u><\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">Eagan, MN \u2013\u00a0<a href=\"mailto:Eagan@smilemn.com\" target=\"_blank\" rel=\"noopener noreferrer\">Eagan@smilemn.com<\/a><u><\/u><u><\/u><\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">Edina, MN \u2013\u00a0<a href=\"mailto:Edina@smilemn.com\" target=\"_blank\" rel=\"noopener noreferrer\">Edina@smilemn.com<\/a><u><\/u><u><\/u><\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">Hutchinson, MN \u2013\u00a0<a href=\"mailto:Hutchinson@smilemn.com\" target=\"_blank\" rel=\"noopener noreferrer\">Hutchinson@smilemn.com<\/a><u><\/u><u><\/u><\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">New Hope, MN (Quebec) &#8211;\u00a0<a href=\"mailto:quebec@smilemn.com\" target=\"_blank\" rel=\"noopener noreferrer\">quebec@smilemn.com<\/a><u><\/u><u><\/u><\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">New Hope, MN (Winnetka)\u00a0<a href=\"mailto:winnetka@smilemn.com\" target=\"_blank\" rel=\"noopener noreferrer\">winnetka@smilemn.com<\/a><u><\/u><u><\/u><\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">Plymouth, MN \u2013\u00a0<a href=\"mailto:Plymouth@smilemn.com\" target=\"_blank\" rel=\"noopener noreferrer\">Plymouth@smilemn.com<\/a><u><\/u><u><\/u><\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">Shakopee, MN \u2013\u00a0<a href=\"mailto:shakopee@smilemn.com\" target=\"_blank\" rel=\"noopener noreferrer\">shakopee@smilemn.com<\/a><u><\/u><u><\/u><\/p>\n<p class=\"m_5012909564585935850MsoNoSpacing\">Spring Park, MN \u2013\u00a0<a href=\"mailto:Springpark@smilemn.com\" target=\"_blank\" rel=\"noopener noreferrer\">Springpark@smilemn.com<\/a><\/p>\n[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221;&#8230;<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1950","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/smilemn.com\/cerritos\/wp-json\/wp\/v2\/pages\/1950","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/smilemn.com\/cerritos\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/smilemn.com\/cerritos\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/smilemn.com\/cerritos\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/smilemn.com\/cerritos\/wp-json\/wp\/v2\/comments?post=1950"}],"version-history":[{"count":8,"href":"https:\/\/smilemn.com\/cerritos\/wp-json\/wp\/v2\/pages\/1950\/revisions"}],"predecessor-version":[{"id":8979,"href":"https:\/\/smilemn.com\/cerritos\/wp-json\/wp\/v2\/pages\/1950\/revisions\/8979"}],"wp:attachment":[{"href":"https:\/\/smilemn.com\/cerritos\/wp-json\/wp\/v2\/media?parent=1950"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}