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Brian T. Seese, DMD
Your family dentist in Davidson, NC

Schedule Your Appointment
(704) 895-5095

New Patient Forms

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.

New Patient Registration

Please download, print and complete this form before your first dental appointment.
Click here to download (60 KB)

Records Release

Please download, print and complete form to release x-rays to our office.
Click here to download (296 KB)

HIPAA Form

Please download, print and complete this form before your first dental appointment. This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Click here to download (27 KB)