Dazzling Smiles

Call or Text
315-409-4481
8195 Oswego Rd.
Liverpool, NY 13090

Call or Text
315-409-4481

8195 Oswego Rd.
Liverpool, NY 13090

Patient Forms

Getting started with Dazzling Smiles in Liverpool, NY is easy.  Call or text for an appointment…315.409.4481.  Download and fill out our new patient medical history form and patient registration form prior to your first visit.   

Medical History Form

Patient Registration Form

Records Release Form

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.