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New Patient Forms



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.




Patient Forms from Salling Tate
Print the following paperwork and mail it back to us
 
Salling & Tate General Dentistry Office 910.256.9040 2002 Eastwood Road
Sea Towers Professional Buildings | Suite #105

Wilmington, NC 28403
34.2223 -77.8200