Southland Dental Care

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 PATIENT FORMS

We are pleased to offer our New Patient forms online.  Simply click on the link below to download the form, print it out, and bring it completed to your first appointment.

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Patient Information

The forms above require Adobe Acrobat Reader to view.  If you do not have Acrobat Reader on your computer, click here for a free download.

522 South Norwood Street  •  PO Box 875  •  Wallace, NC  28466  
tel 910.285.7800  •  fax 910.285.6097