Patient Forms

Please complete our patient forms prior to your dental appointment. You must "submit" each form after you are finished and it will be sent to our office electronically. All forms will be signed in the office when you arrive. 

Patient Forms

HIPAA- Notice of Privacy.pdf

If you need your records sent to another office, please complete the release of records form and email it to or fax it to 919-544-7733. 

Release of records form.pdf