Rocky Mount Family Dentistry

Online forms

Patient Registration

Register online before your first visit to save time at check-in.

Filling out forms online before your appointment saves 15 to 20 minutes at check-in — and gives us time to review your history before you sit in the chair.

What you’ll need

About 10 minutes. Your insurance card if you have one. A list of any medications you take. Any relevant medical history (heart conditions, diabetes, blood thinners, etc.).

How to register

Call us at 540-489-8191 and we’ll send you the registration link by email or text. Once our online booking system is fully wired, you’ll be able to register and book in one flow.

Ready to schedule?

Care for your whole family — right here in Rocky Mount.