Office Hours

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

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


Patient Registration Form


Medical History Form

Healthy Smiles Family Dentistry

Submitting Form...

The server encountered an error.

Form received.

New Smiles Are

Always Welcome

Contact Us Today!

798 Church St. N

Concord, NC 28025



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.

Find us on Facebook at Healthy Smiles Family Dentistry

Follow us on Twitter @StainbackRDH