Dentist Appointment Request

This form will help us save time and serve you better.  Please complete in advance so we can check on your insurance and try to find an appointment date and time that works best for you.  Thank you!


Patient Registration - Word / PDF

Medical History - Word / PDF

Office Policies - Word / PDF

Release Authorization - Word / PDF

Electronic Agreement - Word / PDF

Monday - Thursday 8:00 till 5:00, Friday by appointment only 

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Call Us: 828.277.6868

North Carolina Dental Society

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