Patient Forms

We want to welcome you to the Sensational Smiles of Charleston family!

We are glad that you are interested in becoming a patient of Dr. Richard Rutecki’s Goose Creek, SC dental practice. New patients are always welcome here. Everyone at Sensational Smiles of Charleston is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.

We look forward to seeing you soon!

Dr. Richard Rutecki and the Sensational Smiles of Charleston team

Click the links below for registration (secure links)

New Patient Registration (Adult)

New Patient Registration (Child)