Call: (803) 865-9919

Patient Forms

Thank you for choosing Walker Dental Care for your dental care needs! For your convenience, we have included the forms below that you will need to complete prior to your first visit. By filling out the forms in advance, we will be able to attend to your dental needs more quickly upon your arrival. But, if it is not convenient for you, we have set time aside for you to complete the forms in our office at your appointed time. Please remember to bring a list of medications with you to your appointment and any other pertinent information that will insure that we are able to provide the best care we can. Feel free to call our dental office at          803-865-9919 if you have any questions or need any assistance.

New Patient Registration Form

Medical History Form

Financial Policy Form

HIPAA Form

 

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

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