Merrell Family Dentistry Forms
Merrell Family Dentistry
Same Day Dentist

704.857.6161

702 S. Highland Ave.
Landis, NC 28088

PATIENT FORMS

Save time by printing and completing your forms before your appointment.

Merrell Family Dentistry values your time and has provided the forms below for you to fill out prior to visiting our office for the first time.

Just print out the forms and fill them out as completely as possible prior to coming in for your appointment.

Email or fax your forms to make check-in faster!

Email your completed forms to:
records@merrellfamilydentistry.com

Or fax them to us at: 704.856.1847

fill out forms before appointment
fill out forms before appointment

PATIENT FORMS

Save time by printing and completing your forms before your appointment.

Merrell Family Dentistry values your time and has provided the forms below for you to fill out prior to visiting our office for the first time.

Just print out the forms and fill them out as completely as possible prior to coming in for your appointment.

PHONE
HOURS

Monday–Thursday  
8:00 am–2:00 pm
Closed 1:00–2:00 pm
2:00 pm–5:00 pm
Friday
8:00 am–2:00 pm

ADDRESS

702 S. Highland Ave.
Landis, NC 28088