Dr. Nicole Medley and our team are pleased to offer our patient forms online! They are available in both English and Spanish. Call 816-252-1590 today if you have trouble accessing our forms or have questions about registering at Medley Smiles Family Dentistry. We look forward to seeing you for a visit with our dentist in Independence, Missouri.

Online Forms

Our patient forms will only be fillable from a desktop or laptop computer using the Google Chrome browser. (This means the forms will not work on mobile devices. Download Google Chrome here.


Downloadable Forms:

New Patient Forms
Registración de Paciente