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Preventive
Digital X-Rays
Flouride
Sealants
Scaling & Root Planing
Restorative
Bridges
Composite Fillings
Crowns
Dentures
Implants
Orthodontics
Partials
Root Canals
Veneers
Whitening
At Home Custom Trays
Opalescence Go
In Office Bleaching
Conditions
Abscess
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Decay
Our Results
Smile Gallery
Testimonials & Reviews
FAQs
For Patients
New Patient Forms
Payment & Insurance
Dental Emergency Procedures
Contact Us
Raleigh Location
Request An Appointment
Home
Our Practice
Meet Dr. Polhemus
Meet Our Team
Practice Philosophy
Services
Services Overview
Preventive
Digital X-Rays
Flouride
Sealants
Scaling & Root Planing
Restorative
Bridges
Composite Fillings
Crowns
Dentures
Implants
Orthodontics
Partials
Root Canals
Veneers
Whitening
At Home Custom Trays
Opalescence Go
In Office Bleaching
Conditions
Abscess
Cavities
Decay
Our Results
Smile Gallery
Testimonials & Reviews
FAQs
For Patients
New Patient Forms
Payment & Insurance
Dental Emergency Procedures
Contact Us
Raleigh Location
Request An Appointment
Home
For Patients
New Patient Forms
New Patient
Forms
Please download and complete the forms below and bring them to your first visit with us.
Patient Registration Form
Medical History Form
Record Request Form
Notice of Privacy Practices
Acknowlege Receipt of Privacy Practices Form
