Getting started with Dazzling Smiles in Liverpool, NY is easy. Call or text for an appointment…315.409.4481. Click the link below to fill out our new patient registration form prior to your first visit. You will be taken to a secure website and the information submitted will automatically be uploaded to our practice management software to request our office to release your records to another provider.
- New Patient Packet Link
- Records Release Form (to request our office to release your records to another provider)    Link | PDF
- Authorization for Treatment of a Minor A parent or guardian must accompany their child to their first visit. They can then authorize another person to do so for subsequent visits. Link

Please bring the following with you to your appointment:
- Photo id
- Insurance card
- A parent or guardian must be present for a patient under the age of 18

We value your privacy. Please click here to read our privacy policy and how we will use your protected health information.