Patient Information

Please fill in the Appropriate Patient Information form as completely as possible. Once completed, please print the form and bring a copy with you to your appointment. You may also print a copy for your records.

• Adult Patient Information Form
• Child Patient Information Form

Care for the Whole Family

• Our office provides a complete range of adult and children’s dental services for patients ages three and older.
• We love children! We have specially-designed, colorfully-decorated waiting areas and treatment rooms for our younger patients to make their visits more enjoyable.
• Children are rewarded for being good patients with tokens for prizes.
• TVs are available in all treatment rooms.
• We accept all major credit cards and most major dental insurance carriers. We also accept Medicaid and PeachCare for children.
• Our doors are open to all patients anytime during our normal business hours: Monday-Friday, 8:00 a.m.-5 p.m. and Saturday, 8 a.m.-12 p.m.