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919.562.2345

Accepting New Patients of All Ages

New Patient Information

massage-chairWe would like to welcome our new patients to our office. Please print and complete all provided documents and bring to your initial appointment. Please arrive 10-15 minutes prior to your appointment time.

The “New Patient Paperwork” PDF contains the following:

  • Acknowledgement of Receipt of Notice of Privacy Practices (See Privacy Policy)
  • Request and Consent for Dental Treatment
  • Patient Information and Health History
  • Consent to Release / Request Dental Records
  • Financial Statement
  • Oral Cancer Screening Consent

We provide dental care for all ages and can discuss conscious sedation or anxiolysis with you if you request. Nitrous Oxide sedation is also an option.

We also offer Care Credit third party financing. Visit www.CareCredit.com for more information and a confidential financial application.