Contact Us

Getting in touch with us is easy! You can call, fax, or email our Seymour, Tennessee office or fill out and submit the online form below.

Phone: (865) 579-3368

Fax: (865) 579-3369

Email: info@dougandcathysmithdds.com

Contact Form

First Name
Middle Name
Last Name
Home Phone
Work Phone	Ext.
Cell Phone
E-Mail Address
Preferred Contact Method
Best Time to Contact
What services are you interested in?	Check all that apply below.
Schedule an appointment		Traditional Bleaching Systems
Porcelain Veneers/Crowns		Nitrous Oxide
Restoration of Implants		Periodontal Disease
Digital X-Rays		Registered Dental Hygienists
Additional Questions or Comments

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Forms

Click the links below to download our Patient Forms. Print each form, complete and bring with you on your visit.

Patient Information

Health History

Permissions

Financial Policy

Consent

Acknowledgement of Privacy Practices