New Patient Forms

Print the following paperwork and mail it back to us
Print the following paperwork and mail it back to us

For your convenience, please print the following paperwork and mail back to us the completed Medical History/Insurance Information form, a signed HIPAA Acknowledgement, a signed Financial Policy agreement, and a copy of your dental insurance card.

Salling & Tate General Dentistry
2002 Eastwood Road
Sea Towers Professional Buildings
Suite #105
Wilmington, NC 28403
910-256-9040
We look forward to serving your dental needs
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