Initial Visit Forms

The Dr. Becker Difference

  • Spa-like atmosphere
  • State-of-the-art equipment and procedures
  • Convenient hours
  • On-time appointments
  • No “assembly line”
  • Friendly, professional staff
  • Children’s play room
Make your visit to Smiles by Becker even more relaxing by getting the paperwork out of the way now! Simply complete these forms in the comfort of your own home and bring them with you to your first appointment.