New Patient Form
We love putting our patients first at Pike Road Dental. We want your visit to be as enjoyable of an experience as possible. Therefore, if you would like to reduce the number of forms you have to fill out when you arrive, please complete the form below. Our website is HIPPA compliant, and meets the necessary security standards in order to collect such information. However, if you feel more comfortable printing this form out, completing it, and then bringing it to your appointment, click the link below.