New Patient Forms

Greeter's DeskAt Renaissance Dental Center, our goal is to provide you with an unparalleled experience. As a new patient, we will ask you to fill out all the forms below. To save time and to make the most of your visit, please download and fill out the following forms and bring to your appointment.

pdf-iconDownload New Patient Registration Form

pdf-iconDownload New Patient Medical History Form

pdf-iconDownload Record Release Form

pdf-iconDownload Authorization to Release Information Form

pdf-iconDownload Financial Policy Brief

pdf-iconNotice of Privacy Practices (HIPAA)

Contact our office if you have any questions or have trouble downloading the form. Call 919-786-6766 or email us