Patient Registration

In order to make the process more convenient for you, please review and complete the forms listed below prior to your first visit. If you need assistance or have questions, please call. We look forward to meeting you!  Please allow 2 hours for you first dental appointment with us.

  • Health History Form
  • Notice of Privacy Practices
  • Acknowledgment of Privacy Practices
  • Payment Agreement
  • Email Authorization
  • Smile Evaluation
  • Authorization for Release


200 W Chatham St., Apex 27502

Phone: (919) 362-8797

Fax: (919) 362-1476

Office Hours

Monday : By appointments only.

Tuesday : By appointments only.

Wednesday : By appointments only.

Thursday : By appointments only.

Friday : Closed

Saturday : Closed

Sunday : Closed

Get in Touch


Phone: (919) 362-8797