New Patients

New Patient Forms

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woman assisting a dental patient in birmingham, al

Visiting us for the first time? We strive to make your appointment as stress-free as possible. So, once you book your consultation, you can fill out our new patient forms in the comfort of your home, meaning less time in the waiting room.

New Patient Forms

Download the forms below for print and fill them out before your first appointment to save time in the office.

CHURCH FAMILY DENTAL PLAN

$349.00
for the first family member

$299.00
for any additional immediate family member

What it includes:

  • 2 regular cleanings
  • 2 exams
  • Any needed X-rays
  • 2 fluoride treatments

It also offers a 20% discount on any needed dental treatments! (does not include whitening or botox)

Request your Consultation

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