Questions?
Fill out the form and send your questions. We'll get back to you soon!
First Time Patients
If this if your first dental visit with us, we want to welcome you! We look forward to providing you and your family with the best dental care that Wilmington has to offer.
Below, we’ve provided helpful forms that you may need for your first visit. Just click the links and download the appropriate documents. For quicker processing during your first visit, please make sure the forms are completed before you arrive.
Required Forms
- HIPPA – Notice of Privacy Practices
- HIPPA Acknowledgement – Acknowledgement of Receipt of our Notice of Privacy Practices
- Medical History
- Record Release Form