770-343-4702 Patient Forms Dentistry for Children isn’t just a dentist office. It’s a place children look forward to visiting and where parents are just as comfortable as the patients. We make sure healthy always comes with a big dose of happy. Dentistry for Children is Where Smiles Grow. Stay Safe While You Wait: We encourage all parents to remain in their car during their child’s appointment. However, if we feel it is necessary for you to accompany your child, one parent will be allowed back for the visit. Parents allowed back must maintain social distancing from other patients who may be present. New Patient Forms To save a little time, you are welcome to print and complete the forms below and bring them to your first visit. Download Privacy Notice New Patient Agreement Georgia Department of Public Health Form 3300 Formas para Pacientes Nuevos Acuerdo de Nuevo Paciente Aviso de Prácticas de Privacidad Request an Appointment Associations & Partners Pediatric Dentists in Georgia Dentists Services Parents What’s New Georgia Pediatric Dental Care Emergencies Patient Forms Special Offers Your First Visit Contact Dentistry for Children Georgia Careers Reviews Privacy Notice Subscribe to our newsletter Have an Emergency? Get Help Copyright 2021 | All rights reserved. Site by Trew Knowledge. Powered by WordPress VIP.

770-343-4702 Request Appointment Thank you for your interest in scheduling with us. We know dental health is about more than keeping teeth healthy – it’s about keeping children happy. When dentistry is this fun, you can be sure your child will grow into a healthy, smiling adult. Learn more about your first visit. Please provide your contact information below and our office will contact you. Contact Information * denotes required field Your First Name* Your Last Name* Email* Best contact number? Time of day?* Select time Early Morning Mid Morning Afternoon Late Afternoon Preferred* Select office location Austell Buford Camp Creek Conyers Cumming Cumming (midway) Dawsonville Douglasville Dunwoody Gainesville Johns Creek/Suwanee McDonough Morrow Peachtree City Roswell Sandy Springs Smyrna Snellville Stockbridge Stockbridge/Hudson Bridge Stone Mountain Woodstock Towne Lake How many people are you making an appointment for?* Select number of people 1 2 3 4 5 6 7 8 9 10 How did you hear about us?* Choose from the following Billboard Doctor Referral Drove By Email Event or School Friend or Family Member Insurance Company Internet Search Online Advertisement Radio or TV Commercial Social Media Other Other? Tell us how. Associations & Partners Pediatric Dentists in Georgia Dentists Services Parents What’s New Georgia Pediatric Dental Care Emergencies Patient Forms Special Offers Your First Visit Contact Dentistry for Children Georgia Careers Reviews Privacy Notice Subscribe to our newsletter Have an Emergency? Get Help Copyright 2021 | All rights reserved. Site by Trew Knowledge. Powered by WordPress VIP.