+1 919-973-0178

trophysmilesdurham@gmail.com
601 Fayetteville St. Suite 100

Durham, NC 27701
Monday & Thursday 10am-5pm
Tuesday & Wednesday 12pm-7pm
Third Saturday Monthly 9am-2pm
Friday 10am-4pm

Patient Forms
We care about your smile! Let us handle all of your dental needs in the Durham, Raleigh, and surrounding NC areas.
Whitening, Hygenist, Pediatric, Implants, Affordable, Medicaid, Nearby , Emergency, Weekend, Specialist, dentist, durham, tooth ache,
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Patient Forms

Print and complete the appropriate forms below before you come in for your visit.

Office Rules & Policies

Office Rules & Policies

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New Patient Registration

New Patient Registration

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HIPPA Consent Form

HIPPA Consent Form

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