Patient Forms

Please read the following forms and policies of South Main Dental.  You will be asked if you have read these forms when you arrive at your visit, and asked to sign acknowledging you have read and understand these forms.  

If you are a new patient please feel free to print off the forms and fill them out prior to your appointment. 


Click on any of the forms below for a printable and downloadable copy.

Thank you.


Financial and Appointment Policy

HIPAA Privacy Policy

Patient Information

Patient Consent

Medical History

Our Location

Find us on the map

Hours of Operation

Monday

8:00 am - 4:30 pm

Tuesday

8:00 am - 4:30 pm

Wednesday

8:00 am - 4:30 pm

Thursday

7:00 am - 4:30 pm

Friday

8:00 am - 4:30 pm

Saturday

Closed

Sunday

Closed

Monday
8:00 am - 4:30 pm
Tuesday
8:00 am - 4:30 pm
Wednesday
8:00 am - 4:30 pm
Thursday
7:00 am - 4:30 pm
Friday
8:00 am - 4:30 pm
Saturday
Closed
Sunday
Closed