Patient Forms and Insurance Information
Let our staff guide you through the paperwork. We act as your advocate and partner with insurance providers to streamline the administrative process.
Patient Forms
Skip the waiting line and find the relevant paperwork online! All you have to do is download, print, and fill out the required form(s) below and bring them to your appointment.
Insurance Information
We will gladly file any dental claims. An estimated co-payment, where applicable, will be calculated and is payable at the time of service. Any portion not covered by insurance is the patient’s responsibility.
We accept Visa, Mastercard, American Express, Discover cards, and cash and personal checks.
Fielden Family Dentistry
Patient Testimonials
Phone
+1 336-889-2434
Location
- 115 Gatewood Avenue
- High Point, NC 27262
- US
Email Us
Hours
Monday to Thursday:
8 am – 5 pm
Fridays:
8 am – 5 pm
(every other Friday)
8 am – 5 pm
Fridays:
8 am – 5 pm
(every other Friday)
Contact Us