Patient Forms

Patient Forms

We know...forms to fill out are about as much fun as a visit to the dentist. But, if you fill them out ahead of time, you'll avoid the stress of doing it in the office any may possibly get your visit completed quicker!

Patient Information


Our Patient Information forms should be completed by all new patients and by our current patients with new contact or personal information. Feel free to download the Patient Information forms below and bring the completed form with you to your appointment.

Office Policy


The forms below detail our office policies regarding payment, insurance, appointments and other general information. Please download, print out and sign the forms for your first visit to our practice.

Privacy Policy


The details of our privacy policy can be downloaded below.

Find us.

101 N. Stout Street, Randleman, NC 27317

Call us.

(336) 498-2404