Seniors Form

 

Smile Partners also serves seniors who are 60 years of age and older through its Smiles for Life program at the Waterfront Park Community Center in Winslow, Bainbridge Island.

Click the link below to download our registration packet or you can request for a form by contacting us.


The Heath Insurance Portability and Accountability Act 1996 (HIPAA) requires all health care records to be kept confidential. Smile Partners adheres to all HIPAA standards, and will provide our Notice of Privacy Practices to all patients.