Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Family and Friends Consent and Release PDF
  • Medical History Exam PDF
  • Patient Registration Form PDF
  • Insurance & Payment Policy PDF
  • Cancelation Policy PDF

If you’re unable to open PDF files, you can get Adobe Reader® for free.

North Carolina Dental SocietyAmerican Dental Association

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