New Patient Forms
Welcome, New Patients!
Your leading family & cosmetic dentistry serving the Tri-Cities.
Please fill out the forms below prior to your first appointment. If you have questions we’re happy to assist!

- Diana7/01/2022 - GoogleHands down THE BEST dental office I have ever been to! I highly recommend Southridge Dental. From the moment you... read moreHands down THE BEST dental office I have ever been to! I highly recommend Southridge Dental. From the moment you walk in to the moment you walk out, you will be treated so kindly! The receptionist is outgoing and friendly and will offer you treats like coffee, water, tea, juice and other assorted treats. The hygienist will offer you a choice of a warm neck roll, paraffin hand wax treatment, a warm blanket to name a few. Dr Simper will put you at ease and takes a lot in account regarding your individual treatment plan. You can tell that everyone who works here, loves their job! So glad I found a great dentist who is so close to where I live! read lessLisa P.6/29/2022 - GoogleFrom the front office staff, dental assistants, hygienists, and the dentists themselves everyone at Southridge is great! I've been there... read moreFrom the front office staff, dental assistants, hygienists, and the dentists themselves everyone at Southridge is great! I've been there for cleanings, dental work and even used their afterhours emergency line. Hands down the best dentist in TC. Dr Kayla always takes time to chat & remembers me (and my kiddos who she has never met!) from previous visits. They were able to use a pregnancy safe anesthesia when I needed some work done while pregnant as well. read lessKate H.6/28/2022 - GoogleI brought all 3 of my small children in for cleanings and check ups and it was the best experience... read moreI brought all 3 of my small children in for cleanings and check ups and it was the best experience we’ve at at a dentist with the kids! They were so kind, gentle and patient with them. No tears or fear. The dentist even told them drinking juice/soda was bad for their teeth and they haven’t asked for it since, huge win! I’m so happy Jess referred us here, we will definitely return in the future! read less
- Dana K.6/22/2022 - GoogleThis dentist is everything you hear! Amazing experience from the front desk to Sarah my hygienist to Dr Simper. I... read moreThis dentist is everything you hear! Amazing experience from the front desk to Sarah my hygienist to Dr Simper. I will never go anywhere else. They made me feel part of my dental plan, gave me amazing knowledge about my teeth and were positive during my entire time there. Thank you Southridge Dental team! read lessGabrielle T.6/09/2022 - GoogleSouthridge has been the best dentist and dental experience I have had in my entire life. Sarah my hygienist was... read moreSouthridge has been the best dentist and dental experience I have had in my entire life. Sarah my hygienist was kind, thorough, and gentle. Dr. Kayla was very professional and helpful with my future needed treatment and concerns. 10/10 would recommend to all and so happy to call them my new dental office. read lessAmanda R.5/24/2022 - GoogleGreat office with exceptional staff. My babysitter canceled last minute and I was able to bring her with me. They... read moreGreat office with exceptional staff. My babysitter canceled last minute and I was able to bring her with me. They gave her snacks and she was able to pick something out of the toy bin! The coolest thing for a young kid. Jessica is the best! 🤩 read less
- Kendra K.5/19/2022 - GoogleI absolutely love this office. They are friendly and efficient. Dr. Simper gets the job done and his assistants keep... read moreI absolutely love this office. They are friendly and efficient. Dr. Simper gets the job done and his assistants keep things moving right along. Jessica was awesome enough to take a picture with me to be entered in a drawing for an Amazon gift card. Highly recommend this place for all your Dental Needs!!!! Thank you everyone at South ridge Dental! read lessElizabeth P.5/17/2022 - GoogleEach and everyone of the staff members is so friendly and cares about you! Love this place. They pamper you... read moreEach and everyone of the staff members is so friendly and cares about you! Love this place. They pamper you and make you feel at ease. Listening to your concerns and feedback and making the whole experience relaxing and leave you feeling confident in your care. 10/10 recommend. read lessAreli L.4/28/2022 - GoogleI have been going here for the past 5 years! Highly recommend. The front desk is very welcoming! The professionalism... read moreI have been going here for the past 5 years! Highly recommend. The front desk is very welcoming! The professionalism and friendliness of the whole team is outstanding. Always have a great, smooth experience here. Dr. Safford is always attentive and informative. From my cleanings to emergency tooth surgery, I am glad it has been with them. read less