Patient Forms

In an effort to be better prepared for your visit with our Holly Springs dentist, we ask that you fill out and e-mail us the new patient forms or print them and bring the completed forms to your initial visit. You may contact our office if you have any questions about the forms.

If you need us to file a claim with your dental insurance provider, please provide all of your up-to-date insurance information at least 24 hours prior to your dental visit.

We also need the name of any previous dentist for the past three years so we can request current x-rays. We want to be able to study your x-rays prior to your visit to make sure we are giving you the best dental care possible in our Holly Springs practice. We will need x-rays to perform an initial exam with a proper diagnosis of your dental health. If there are no current x-rays available at the time of your appointment, we will need to take them during your initial visit.

Download Patient Forms

Click the links below to download all necessary patient forms.