Download New Patient Forms Below

New Patient Form

Privacy Policy Acknowledgement

Health History Form

Brick at Green Oaks Dental - Dentist

Authorization of Release of Information

Brick at Green Oaks Dental - Dentist

HIPPA Privacy Policy

Financial Services Agreement

Let Us Help!

We will be more than happy to submit all insurance forms for you and help you recover the most from your benefits. We will do everything we can to help you afford the treatment you need and want. For patients who require major work, a complete payment plan is designed with an appropriate payment schedule. Forms of payment accepted by the office are check, cash, any major credit card or care credit.Care Credit

84 Helen Highway - Cleveland, GA 30528 - Telephone: 706-865-3174

All Rights Reserved - Copyright 2015 -

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