PATIENT FORMS

To make your appointment quicker and easier for you, we’ve provided all our forms you need here. Unless it’s marked Reference Only, we strongly recommend you fill out all these forms before you come to the office. Simply print them out and bring them into our Winston Salem office. That way you won’t have to spend time filling out forms in our waiting room!

If you decide not to fill out your forms in advance, please arrive at our office 30 minutes before your scheduled time to fill out your paperwork and get your insurance sorted out.

Welcome to Our Office

Dentist Appointment Patient Forms Welcome to our Office

Privacy Policies – Reference Only

Dentist Appointment Patient Forms Privacy Policies - Reference Only

Medical & Dental History

Dentist Appointment Patient Forms Medical & Dental History

Insurance -About & Verification

Dentist Appointment Patient Forms Insurance - About & Verification

Do you need dental work? Call our office here in Winston Salem at
336-765-3357! 

Your comfort comes first here at Distinctively Dental, let us show you how.