Office Hours

9:00 a.m. to 5:00 p.m. (by appointment)

Lunch 1:00 p.m. to 2:00 p.m.

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Patient Registration Form

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Medical History Form

Healthy Smiles Family Dentistry

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New Smiles Are

Always Welcome

Contact Us Today!

798 Church St. N

Concord, NC 28025

(704)720.0692

fax.(704)720.0693

Office Forms

Click the icons below to download the forms listed
& print them out. Please feel free to bring the completed forms with you to your first
appointment or fax the forms to 704-720-0693.

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Follow us on Twitter @StainbackRDH

www.DoctorStainback.com