PATIENT FORMS

Squiggly Line Dental Icon SC

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at River District Smiles is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring any dental X-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Patient Intake Form
Medical History
Dental History
Notice of Privacy Practices
Sleep and Speech Questionnaire

Dentists Proudly Serving Rock Hill

Squiggly Line
Rock Hill SC
Schedule Your Visit

Have Any Questions?
Call Us Today at: (803) 590-9525

River District Smiles Collage