Please feel free to print the forms, complete them, fax them to 828-277-0277 or bring them to your appointment to expedite the  registration process the day of your visit. Please contact our office with any questions.

Patient Information

Authorization for Release of Information

Medical History

Health History and Contact Update

Root Canal Treatment Consent Form

Surgical Treatment Consent Form

Surgical Treatment Consent for Patients Who Have Received Bisphosphonate Drugs

Home Care Notes- Root Canal Treatment Incomplete

Home Care Notes- Root Canal Treatment Complete

Home Care Notes- Surgery 

Privacy Practices

Consent for Use and Disclosure to Health Information

Acknowledgement of Receipt of Notice of Privacy Practices

Office Payment Policy