New Patient Forms

For your convenience, all of our new patient forms can be accessed online and completed at home. Simply download the forms below, complete them at home, and bring them with you to your first appointment. If you should have trouble downloading these forms, please call our office and a knowledgeable receptionist will be happy to assist you.

  Medical Health History Form 
  Dental Health History Form 

Notice of Privacy Policies
Acknowledgement of Privacy Policies
Authorization for Release of Information 


Post Operative Instructions

For your convenience, all of our post operative instructions can be accessed online. Please note that you will receive a hard copy of these instructions after your procedure. If you should have any trouble downloading these forms, please call our office and a knowledgeable receptionist will be happy to assist you.

  No Forms At This Time 
   
   




For a limited time, all new patients will receive FREE Take-Home Teeth Whitening Kit when mentioning this ad!

Call (252) 477-4412 to schedule or click below for more information!