Patient Forms
First Time at Village Dental? See What We’re All About!
Village Dental is proud to be North Carolina’s premier dental home for compassionate family care and soothing sedation dentistry. We’ve worked hard to create a welcoming, judgement-free atmosphere and are always accepting new patients. If this is your first visit to Village Dental, then watch the video below to see what it’s like here at our Village!
Are You a New Patient?
Let us start by saying welcome to Village Dental! We know paperwork can be a pain. No one likes doing it! It can be especially inconvenient if it is holding you up from getting your appointment started. For your convenience we have made our patient forms available online. You can download the form, print it out, fill in the form, and bring it into the office with you for your first appointment. We take many steps to make sure your visit is as easy and enjoyable as possible. Eliminating waiting room paperwork is just one of them!
Patient Forms
Post Operative Pain Management
IV Sedation Consents
Free Exam & X-Ray*
No Insurance? No Problem!
Payment Options & Policies
Village Dental accepts cash, check, and all major credit cards for your convenience. Please note that a 3% processing fee will be applied to all credit card payments to help offset merchant processing costs. This fee is in compliance with North Carolina payment processing regulations. For questions about payment options or to discuss alternative payment methods, please speak with our front desk staff.