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It’s Our Business to Make You Smile
704-873-6451

Patient Forms

For your convenience, please print, fill out the appropriate forms, and bring them with you on your first visit. Other information you will need to bring:
  • A current list of your medications for us to copy
  • Your dental insurance card (if applicable)
For children and spouses covered by dental insurance, please make sure you have the appropriate social security numbers and dates of birth filled out on form 1 and 2.
Please review forms prior to printing. Some forms are informative only, while others may not be applicable to you.