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Growing Grins

  • Contact Us
  • About Us
  • Our Team
    • Our Doctors
    • Join Our Team
  • Locations
    • Locations
    • Wilmington
    • Jacksonville
  • Treatment Info
    • Sedation Options
    • Exam Types
    • Treatment Options
    • X-Rays
    • Emergencies
  • Orthodontics
  • Visit Info
    • First Visit
    • Patient Forms
    • Membership Program, Insurance & Payment Info
    • Teledentistry
    • FAQs
  • News
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Patient Forms


Dr. Halley White and Dr. Andrew Johnson; pediatric dentists; Wilmington and Jacksonville, North Carolina.

PATIENT FORMS

NEW PATIENT FORMS

Office Appointment Policy

Appointment Checklist

Financial Guidelines

New Patient Information

Notice of Privacy Practices

Acknowledgement and Notice of Privacy Practices

Kids Welcome Flyer

Office Policy Regarding Dental Insurance

HIPAA Communication Authorization

Vaccination Policy

CURRENT PATIENT FORMS

Demographic & Health History Update

Post Operative Instructions

Records Release

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  • Privacy Policy

Wilmington Office
910-996-2762
109 Mendenhall Drive
Wilmington, NC 28411

Hours of Operation
Monday-Wednesday: 8:00 am-5:00 pm
Thursday: 8:00 am-2:00 pm
(Before school appointments on Thursdays!)
Friday: Closed

Notice of Nondiscrimination         

Your Right to an Interpreter

Service Area

Privacy Policy

Jacksonville Office
910-886-2069
306 Dolphin Drive, #2
Jacksonville, NC 28546

Hours of Operation
Monday-Wednesday: 8:00 am-5:00 pm
Thursday: 8:00 am-2:00 pm (business office hours)
Friday: Closed