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Become Our Patient

Smile By Design Family Dentistry looks forward to having you join our host of satisfied patients. Dr. Reed has a schedule tailored for your convenience. To schedule an appointment, please call us at (731) 286-0233. To request an appointment online, please click here.

Once you have made your initial appointment, you can pre-register by clicking on the links below to download the New Patient Forms. Please print and complete the forms prior to your arrival. This will help to speed up the new patient registration process and get you in to see Dr. Reed faster!

New Patient Registration Form 
Health History Form
HIPPA Consent

Please note:  It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below. 

Adobe Reader

Become Our Patient

Smile By Design Family Dentistry looks forward to having you join our host of satisfied patients. Dr. Reed has a schedule tailored for your convenience. To schedule an appointment, please call us at (731) 286-0233. To request an appointment online, please click here.

Once you have made your initial appointment, you can pre-register by clicking on the links below to download the New Patient Forms. Please print and complete the forms prior to your arrival. This will help to speed up the new patient registration process and get you in to see Dr. Reed faster!

New Patient Registration Form 
Health History Form
HIPPA Consent

Please note:  It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below. 

Adobe Reader

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1999 St. John Avenue | Dyersburg, TN 38024 | (731) 286-0233