New Patients

Find all your pre-procedure paperwork here.

Looking for payment options?



We participate with Care Credit

Apply online today


New Patient Paperwork

Adult   or    Child

Notice of Privacy Practices

Notice of Privacy Practices Acknowledgment

We now offer online new patient information packets. Please use the appropriate link above to fill out your new patient information before arriving for your appointment. The Notice of Privacy Practices must be emailed to us as a PDF, or brought to the office with you for your appointment.

These forms are in Adobe PDF format which can be opened using Adobe’s free Acrobat reader. Most computers have this software installed, but if you have any problems viewing the forms, please download the latest version of Adobe Acrobat® by CLICKING HERE.

No Insurance?

Our Patients Don’t Need It!

Join our Simpsonville Family Dentistry Membership Club

and get your care for a low monthly Subscription Fee.