New patient Forms
We welcome you with warm smiles to our practice!Patient Information
NEW PATIENT FORMS
Please prepare for your first appointment by completing our new patient information forms. These forms can be completed online and emailed back to frontdesk@piedmontdentalassociates.com
Alternatively, you can download the forms to your computer and complete them at home. Then bring them with you to your first appointment.
- New Patient Information Forms (Adults)
- New Patient Information Forms (Under 18)
- Medical History
- Notice of Privacy Practices
- Financial Policy
These documents are in Adobe PDF format. If you’re unable to read PDF files, you can download Acrobat Reader free from Adobe.
Piedmont Dental Associates is your HICKORY, TROUTMAN, SALISBURY, MOCKSVILLE, & CONNELLY SPRINGS Dentist
Our friendly, dedicated, and energetic team is committed to working with you and your family to create a positive experience every time you visit our practice.
Our mission is to provide the highest quality comprehensive oral care to all patients in a timely, professional and respectful manner. We strive to have a positive impact on the quality of life for our patients and for the community.
YOUR HICKORY, TROUTMAN, SALISBURY, MOCKSVILLE & CONNELLY SPRINGS AREA DENTIST
Piedmont Dental Associates provides Family Dentistry, Advanced Prosthodontics, and Maxillofacial Prosthetics in North Carolina. LEARN MORE
PIEDMONT DENTAL PATIENTS
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Financial Information
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New Patient Forms
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