forms

forms

Adam Hill, DDS - Forms

New Adult Patient Form (PDF) - Download

New Child Patient Form (PDF) - Download

Consent to Use and Disclose Medical Information Form - Download

Missed Appointment Policy Form - Download

Dental Records Release Form - Download

Authorization for Release of Information - Download

Acknowledgement of Receipt Of Notice of Privacy Practices - Download


Our Office Hours:

  • Monday 8:00am - 5:00pm
  • Tuesday 8:00am - 5:00pm
  • Wednesday 8:00am - 5:00pm
  • Thursday 8:00am - 5:00pm
  • Selected Fridays 8:00am - 12:00pm
Google Map of 123 Little Spring Rd Blowing Rock, NC 28605