New Account Request

Thank you for your interest in Smile Solutions.  If you already have an account please login, Rainbow Patients, or Russell Patients.

After you have completed this form we will create an account for your in our system and send you a link to complete your new patient forms.

By creating an account you will be able to do the following:

  • Manage your patient information online
  • View payment history
  • View scheduled appointments
  • And more!