NEW PATIENT FORMS

PLEASE FILL OUT THE NEW PATIENT FORMS

Please assist us at the time of your initial visit to the office by providing the following information

• Your referral slip and x-rays from your referring dentist.

• A list of medications you are currently taking

• If you have dental insurance, please bring any forms or insurance cards with you to the appointment.

FORMS FOR -

ST. ANDREWS, DEVINE, & LEXINGTON

*** AFTER YOU COMPLETE THE ONLINE FORMS, PLEASE PRINT A COPY AND BRING THEM TO YOUR FIRST APPOINTMENT

FORMS FOR

SANDHILLS

*** AFTER YOU COMPLETE THE PRINTED FORMS, PLEASE PRINT A COPY AND BRING THEM TO YOUR FIRST APPOINTMENT.