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happy three-generation family enjoying time together at home

New Patient Forms

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.

New Patient Registration
Please download, print and complete this form before your first dental appointment.
Download New Patient Registration
Records Release
Please download, print and complete form to release x-rays to our office.
Download Records Releas
HIPAA Release Form

Download HIPAA Release Form

Treatment Without Parent/Guardian Present Consent Form
Download Guardian Present Consent Form

Your comfort is our priority

Call us (704) 895-5095
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