Patient Forms

HomePatient Forms

For faster service, please complete either an adult or child New Patient Registration form prior to your appointment. Thank you!

New Patient Registration (Adult)
New Patient Registration (Child)

Our pledge is to provide your family with beautiful, healthy smiles for a lifetime.

Call (336) 372-8299 now or click below to schedule your next appointment.

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Patient Forms

For faster service, please complete either an adult or child New Patient Registration form prior to your appointment. Thank you!

Our pledge is to provide your family with beautiful, healthy smiles for a lifetime.

New Location!