Patient Information
Preparing for Your Visit
At Piedmont Regional Dental Clinic, we value your time and strive to make your visit as smooth and comfortable as possible. If you have any questions or need assistance, please don’t hesitate to get in touch.
Streamline Your Check-In Process
To save time at your appointment, you can complete your new patient paperwork in advance. Our forms are available in English and Español.
Required Intake Forms:
Formularios de Admisión Requeridos:
If you don’t have dental insurance, you may qualify for our Affordable Care Program.
What to Bring to Your Appointment:
Please bring the following items to ensure a smooth check-in:
✔ A list of all current medications (including dosage and frequency)
✔ Your insurance card (if insured)
✔ A valid photo ID (for patients 18 and older)
✔ Your primary physician’s contact details (name, phone, and fax number)
We look forward to seeing you soon! Let us know if we can assist you in any way.