Request Appointment

Please complete the form and one of our team members will reach out to schedule your appointment. 

Before your first appointment

Dental Patient Forms - Rock Hill, SC

Fill Out Digital Forms Below

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.

Print & Fill Out Forms Below

Please print and complete the forms below prior to your first appointment.

If you have any questions, don't hesitate to call us as our team will be happy to assist you.