Patient Forms
Bringing your completed patient forms to your appointment at Alliance Family Dental In Fayetteville, NC, will save you time and will help us expedite your visit. You can download these forms by clicking on them. Each file is in the Adobe PDF format. Adobe is a free application, you can download it here.
- Notice of Privacy Practices
- Health History
- Adult Oral Health Survey
- Child Oral Health Survey
- Email & Text Permission Form
- Cancellation Financial Warranty Policy
- HIPPA Consent
- Patient Communication Form
- Your Dental Insurance
Patient Login New Patient