Forms

The forms below have been added for your convenience to complete prior to your visit.

Medical & Dental History Form

Adult Registration Form

Child Registration Form

Call Us Today! 618-662-5116

Our Location

Southern Illinois Smiles, P.C. 217 East 2nd Street Flora, Illinois, 62839, United States 618-662-5116

Patient education library includes information on various topics ranging from dental care to oral health problems.