North Point Dental Associates welcomes you into our family! Please see the below forms. These can be filled out directly online ahead of time, or downloaded, filled out and brought with you to your visit. Filling your forms out directly online will save you the most time at your dental visit.
If this is your first visit with us, welcome! Your first visit is a great opportunity to build the foundation of a long lasting dental relationship. Upon arrival of your first visit, we will go over your medical history, patient registration and give you time to get to know your dentist. Dr. Thakkar and her team take great pride in servicing the Triad Area.
Patient Forms:
Please visit our patient portal to register and fill forms out prior to your appointment. This will save you the most time at your visit. No printing necessary!
Fill Out Patient Registration Forms
Print and fill out your new patient paperwork, please download the forms below and bring them with you to your first visit.
- New Patient Registration Form
- Existing Patient form
- Consent For Treatment Form
- Parent Policy
- Cancellation Policy
Dental Saving Plan
Call For Same Day Appointment!
Plans
Dental Savings Plans
Child
- Two professional cleanings per year
- Two professional exams per year
- 1 Set of Routine X-rays
- 2 Fluoride treatments
- 1 Emergency exam per year
- 20% Off other dental services*
Adult
- Two professional cleanings per year
- Two professional exams per year
- 1 Set of Routine X-rays
- 2 Fluoride treatments
- 1 Emergency exam per year
- 20% Off other dental services*
- Invisalign $500.00 off
Perio
- 4 Quadrants of Scaling/Root Planing (Deep cleaning)
- 3 Perio Maintenances per year
- Two professional exams per year
- 1 Set of Routine X-rays
- 2 Fluoride treatments
- 1 Emergency exam per year
- 20% Off other dental services*
Perio Maintenance
- 3 Perio Maintenances Per year
- Two professional exams per year
- 1 Set of Routine X-rays
- 2 Fluoride treatments
- 1 Emergency exam per year
- 20% Off other dental services*