Patient Forms for The Dental Care Center

New Patient & Existing Patient Forms

We have made our patient forms available to you here for your convenience. We recommend completing these forms prior to your first appointment. For your convenience, you can electronically complete the forms and have them securely sent to our offices.

To begin, simply choose which location you will be visiting and select the New Patient or Existing Patient Form to complete. Once you complete the forms all you have to do is hit submit and your paperwork will be securely sent to our office. If you have questions, please call us so we can help!

Please save our forms to your desktop and open them with Adobe Reader for maximum compatibility.

Bunn

New Patient Forms

Financial Policy

Financial Policy Medicaid

Medical Clearance Form

TeleDentistry Consent Form

Existing Patient Forms

Fayetteville

New Patient Forms

Financial Policy

Financial Policy Medicaid

Medical Clearance Form

TeleDentistry Consent Form

Existing Patient Forms

Greenville - Arlington Blvd

New Patient Forms

Financial Policy

Financial Policy Medicaid

Medical Clearance Form

TeleDentistry Consent Form

Existing Patient Forms

Greenville - Emerald Place

New Patient Forms

Financial Policy

Financial Policy Medicaid

Medical Clearance Form

TeleDentistry Consent Form

Existing Patient Forms

Smithfield

New Patient Forms

Financial Policy

Financial Policy Medicaid

Medical Clearance Form

TeleDentistry Consent Form

Existing Patient Forms

Wake Forest

New Patient Forms

Financial Policy

Financial Policy Medicaid

Medical Clearance Form

TeleDentistry Consent Form

Existing Patient Forms

Wilson

New Patient Forms

Financial Policy

Financial Policy Medicaid

Medical Clearance Form

TeleDentistry Consent Form

Existing Patient Forms

TDCC Kids

New Patient Forms

Financial Policy

Financial Policy Medicaid

Medical Clearance Form

TeleDentistry Consent Form

Existing Patient Forms

Zebulon

New Patient Forms

Financial Policy

Financial Policy Medicaid

Medical Clearance Form

TeleDentistry Consent Form

Existing Patient Forms

Payment Options

We will file your dental insurance claims for you. Because dental insurance can be confusing, we encourage you to ask us any questions you have about how your insurance works. We accept MasterCard, Visa, and CareCredit, a third-party financing option. You can learn more about CareCredit here.