Patient Forms

Our dentist and team offer the following patient forms for your convenience, including:

  • Patient Dental Medical History forms
  • General Patient Consent forms
  • Notice of Privacy Practices form
  • and Insurance Authorization forms

Dr. Suhair Shamoon wants you to be prepared for your dental appointment at Dentistry With A Smile, LLC so that you can relax knowing the details are being taken care of as you receive care for your teeth. Call us at 508-672-6471 for any questions you may have regarding our patient forms for your dental care in Fall River, Massachusetts!

Check back soon for our online patient forms!

Visit Our Office

Fall River, MA

920 Plymouth Avenue, Fall River, MA 02721

Email: dwasschdc@gmail.com

Office Hours

  • MON8:30 am - 6:00 pm
  • TUE8:30 am - 5:00 pm
  • WED8:30 am - 5:00 pm
  • THU8:30 am - 6:00 pm
  • FRIClosed
  • SAT8:30 am - 2:00 pm
  • SUNClosed
(508) 672-6471