Help us get to know your child!
Please take a moment and fill out our patient information form before your appointment at our Winston-Salem or Kernersville office. If you have any questions along the way, feel free to contact our practice.
Paperwork to print and fill out at home
- New Patient Form for 1-3 year olds PDF
- New Patient Form for 4-12 year olds PDF
- New Patient Form for 13 years and older PDF
- Dental Cleaning Form PDF
- HIPAA and Practice Policies Form PDF
- Authorization to Release Information Form PDF
We look forward to seeing you!
Thank you for taking the time to fill out your paperwork ahead of time. We look forward to seeing you at your next visit!