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happy three-generation family enjoying time together at home
New Patient Forms

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.
Download New Patient Registration
Records Release
Please download, print and complete form to release x-rays to our office.
Download Records Releas
HIPAA Release Form

Download HIPAA Release Form

Treatment Without Parent/Guardian Present Consent Form
Download Guardian Present Consent Form

Your comfort is our priority

Call us (704) 895-5095
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Our Patients Testimonials

Susan H.

Always a smile I think Dr. Seese and his staff are just great. They are a great combination of professional experience and genuine concern for their patient.

Amy M.

Efficient and Friendly I was in for a six-month checkup and cleaning. The staff and the dentist are friendly, on time, and efficient. They handle insurance filing, and they send reminders. The location is convenient, and the office is pleasant and clean. Perfect!

Peggy D.

A sense of comfort when visiting a Dentist's office! Always a great experience due to their friendly, warm professional service.

Carter H.

Always a fun time Brian, Courtney, Donna, and Karen are a great team. I get good care and great friendship there! Highly recommend this dedicated practice.