Call Enlighten Dental Care
To Make Your Appointment:


336.765.0904

Hours:

Monday - Thursday
8:00 am to 4:00 pm

*Friday by appointment only
Location:

1551 Westbrook Plaza Dr., Suite 203

Winston-Salem, NC 27103

Patient Forms

For your convenience, we provide online patient forms. If possible, please fill out the online forms prior to your visit. It will speed up your check-in time and insure a timely visit.

Our forms below are available for download as a PDF. Please download the forms for your initial appointment, print out a copy, sign and bring with you.

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Privacy Policy
Form

Our Privacy Policy form can be viewed and printed using Adobe Acrobat Reader. Please bring with you to your appointment.

Privacy Signature Form

Our Authorization For Release form can be viewed and printed using Adobe Acrobat Reader. Please bring with you to your appointment.

Appointment Cancellation Form

Our Appointment Cancellation form can be viewed and printed using Adobe Acrobat Reader. Please sign and bring with you to your appointment.

Financial Policy
Form

Our Financial Policy form can be filled out with the latest version of Adobe Acrobat Reader or completed by printing out the form and filling in manually. Please bring with you to your appointment.