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.
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.
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
Quality of Work
"I have always known I can go there and trust their team to be honest and know they genuinely care for their patients. The quality of work is second to none. They are not pushy or impatient. They make me feel like one of the family. They just haven't bought me a car yet."
Excellent Dental Care
"Dr. Fielden and his entire staff are terrific and have given me excellent dental care. Dr. Fielden has been taking care of me now for many years and I am very grateful for his skills and his "chair-side" manners. He always make me feel relaxed and comfortable."
Excellent Care and Prices
"Since moving to the High Point area 6 years ago, Dr. Fielden & his office have given me excellent care & prices every single visit. The hygienists are always very pleasant & thorough. Every question or concern has been answered to my complete satisfaction. No procedure is ever forced.. I cannot recommend Dr. Fielden & his office enough. Thanx fr all your care & hospitality!"
Level of Care
"Dr. Cody Fielden went above and beyond when I recently needed a root canal and crown. He is a very talented dentist with over 20 years of experience, I was told. The level of care I received from him and his office was top notch. If you live in or around the HP area, you better be going here for dental work! You won’t regret it. :)"
Understanding and Compassionate
"What a wonderful and friendly staff! I feel blessed to have been recommended to Fielden Family Dentistry! Very understanding and compassionate staff! Cody and Ashley treated me like a family member! Thank you all for helping me move forward with my life! Truly have put a smile back on my face!"
"I took my son yesterday for a baby tooth extraction! the dentist is amazing! I am so pleased with the outstanding services. Everyone is so polite, friendly and helpful. I was nervous to change dentist after moving to high point, but I am so glad iwe chose them. This is by far the best dentist practice in town!! We are moving miles away, but will for sure keep our favorite dentist. The whole family is pleased, nothing more to ask for."
Beautiful and Natural
"Words cannot express my gratitude for the excellent service each of you provided in receiving my new porcelain crowns. I am so happy and feel more confident with my new smile. They look beautiful and natural. Thank you for taking time out to consult and answer my many questions. Specifically, to Dr. Fielden, Glenda, Kathy and April...I sing your praises to all who care to listen!"
Oral Health Affects Your Overall Health
"Let the nicest, kindest, friendliest, gentlest staff take care of you and your oral health at Fielden Family Dentistry. They're very concerned about how your oral health affects your overall health. They have the most state-of-the-art equipment which gives you the best oral care, while saving you both time and money. There's no reason to let anyone else take care of this gift that gives us so much potential joy."
- 115 Gatewood Avenue
- High Point, NC 27262
8 am – 5 pm
8 am – 5 pm
(every other Friday)