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704.373.60401532 Providence Road South, Suite 220, Waxhaw, NC 28173MON-THURS 7AM to 4PM | FRI Private Appts Only

Dentist Waxhaw

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New Town Dentistry
Dentist in Waxhaw
New Town DentistryNew Town Dentistry
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  • About Us
    • Meet Dr. Wolfe
    • Meet Our Team
    • Office Tour
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  • Services
    • Digital Dentistry
    • Panoramic 3D Imaging
    • Dental Implants
    • Restorative Dentistry
    • Cosmetic Dentistry
    • Preventative Dental Care
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  • Patient Info
    • Your First Visit
    • Scheduling
    • Patient Forms
    • Insurance
    • Financing
    • New Patient Portal
  • Dental Resources
  • Contact Us
    • Request an Appointment
  • Home
  • About Us
    • Meet Dr. Wolfe
    • Meet Our Team
    • Office Tour
    • Missions
    • Blog
  • Services
    • Digital Dentistry
    • Panoramic 3D Imaging
    • Dental Implants
    • Restorative Dentistry
    • Cosmetic Dentistry
    • Preventative Dental Care
    • Amenities
  • Patient Info
    • Your First Visit
    • Scheduling
    • Patient Forms
    • Insurance
    • Financing
    • New Patient Portal
  • Dental Resources
  • Contact Us
    • Request an Appointment

Patient Forms

The “New Patient Forms” are for our new patients to print, sign, and bring them to your first appointment. The “Authorization to Release Health Information” ONLY NEEDS TO BE FILLED OUT if you are transferring dental records from another office. If you cannot we ask that you arrive 15 minutes prior to your reserved time to complete this paperwork.

The “HIPAA Notice & Privacy Statement” is for your records. This form presents the information that federal law requires us to give our patients regarding our privacy practices.

The “Authorization to Consent to Health Care for a Minor” is to be used if someone other than the parent or guardian is bringing a minor for an appointment.

Please call us at 704-373-6040 if should have any issues or questions regarding our patient and privacy forms.

Please click on the box below to view and print your form.  Thank you.

CONTACT US
New Town Dentistry
704.373.6040
1532 Providence Road South
Suite 220
Waxhaw, NC 28173

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PATIENT FORMS

OFFICE HOURS
Monday 7:00am - 4:00pm
Tuesday 7:00am -4:00pm
Wednesday 7:00am - 4:00pm
Thursday 7:00am - 4:00pm
Friday Private Appointments only
Saturday/Sunday Closed

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WE SERVE THESE AREAS:

Waxhaw
Marvin
Wesley Chapel
Indian Trail
Weddington
Monroe
South Charlotte
Indian Land
Stallings
© 2019 New Town Dentistry | Dentist in Waxhaw | (704) 373-6040 | 1532 Providence Road South, Suite 220, Waxhaw, NC 28173
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