PATIENT FORMS

Patient Forms

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New Patient Packet Frenectomy New Patient Packet Authorization to Release Dental Records to Us Authorization to Release Dental Records form Us Authorization to Bring Minor Child Existing Patient - Health History Update Notice of Privacy

Referring Doctor? Please download our form.

BEFORE THE FIRST VISIT

May we make the following suggestions to make your child’s first visit to Asheville Pediatric Dentistry a great one?

Tell your child that the dentist will be gentle and friendly and will count their teeth.

Please do not tell your child that the dentist will not hurt, as this may never have entered their mind. Please do not use words such as needle, shots, drill or other words suggesting unpleasantness.

Expect your child to do well and enjoy the first visit to our office and chances are they will!

The initial appointment is reserved specifically for your child. Any change in this appointment affects many patients. If a cancellation is unavoidable, please call the office at least 24 hours in advance so that we may give that time to another patient.

Please complete the New Patient Health History form located at the top of this page before your first visit.

Our schedule may be delayed in order to accommodate an injured child. Please accept our apologies in advance should this occur during your appointment. We would do the same if your child were in need of emergency treatment.

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