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Downloadable Forms & Online Forms

Thank You For Choosing Mark A. Johnson Family Dentistry
as your dental care provider.
We are committed to your treatment being successful.
Your clear understanding of our financial policy is important to our professional relationship.

Payment for services is required at the time of treatment.

We accept Visa, MasterCard, CareCredit, as well as cash and personal checks.
We also accept a large number of insurance plans. 

For additional information, contact 336-983-5095 or click here.

Click Selected Links To Download Selected Documents

All Six Documents In One
(Recommended Version For All New Patients)

Welcome Letter

Patient Consent To Dental Treatment Form

Consent To Release Health Information Form

Our Financial Policy

Dental Registration & Patient History Form (Page 1 Of 2)
Dental Registration & Patient History Form (Page 2 Of 2)

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