Asheville
(828) 274-9220
  Asheville
(828) 274-9220
  Sylva
(828) 586-9333
  Sylva
(828) 586-9333
  Waynesville
(828) 454-9156
  Waynesville
(828) 454-9156
Great Beginnings Pediatric Dental

Great Beginnings Board Certified Pediatric Dentists

Great Beginnings Pediatric Dental

Great Beginnings Board Certified Pediatric Dentists

New Patient Dental Forms

To make your first visit to our pediatric dental office more smooth and efficient, we ask that you give us a little more information about your child and complete the new patient forms below before your scheduled appointment.

You can fill-out the appropriate forms online.  Or, if you prefer, you can download and print the forms, fill them out and bring them to your first dental appointment.

1 - Getting to Know Your Child

We want to know what makes your kid special so our pediatric dentists and staff know how to make your little one happy!

Tell us more about your kid by letting them fill out the following form.  When they're done, have them click "I'm Done!".  Or, if you prefer, you can download the form, have them fill it out and bring it to your first pediatric dental appointment!

It's All About You!

A - Fill-out Form Online

  • gb its all about you online

    Note: This form will be submitted to the Asheville Office.

    Filling the sheet out online is fun and easy!  Simply click the "Fill online" button below, following the instructions and click "Done" to submit your form.

    Fill online
  • gb its all about you online

    Note: This form will be submitted to the Sylva Office.

    Filling the sheet out online is fun and easy!  Simply click the "Fill online" button below, following the instructions and click "Done" to submit your form.

    Fill online
  • gb its all about you online

    Note: This form will be submitted to the Waynesville Office.

    Filling the sheet out online is fun and easy!  Simply click the "Fill online" button below, following the instructions and click "Done" to submit your form.

    Fill online

B - Download and Bring to Office

gb its all about youClick the "Download" button to open the sheet. 

Print the sheet, complete, and bring to your first visit.

Download

 

 

 

2 - New Patient Forms

Below you will find several pediatric dental documents that will help you through your dental experience. To help us with your kid’s chart, please fill out the appropriate dental forms online.  Or, if you prefer, you can download the forms, fill them out and bring them to your first dental appointment.

Welcome Form

A - Fill-out Form Online

  • gb patient info sheets online

    Note: This form will be submitted to the Asheville Office.

    Filling out a form online is easy.  Simply click the "Fill online" button below, following the instructions and click "Done" to submit your form.

    Please complete, sign and submit both pages.

    Fill online
  • gb patient info sheets online

    Note: This form will be submitted to the Sylva Office.

    Filling out a form online is easy.  Simply click the "Fill online" button below, following the instructions and click "Done" to submit your form.

    Please complete, sign and submit both pages.

    Fill online
  • gb patient info sheets online

    Note: This form will be submitted to the Waynesville Office.

    Filling out a form online is easy.  Simply click the "Fill online" button below, following the instructions and click "Done" to submit your form.

    Please complete, sign and submit both pages.

    Fill online

B - Download and Bring to Office

gb patient info sheetsClick the "Download" button to open the document.

Please print 2 pages separately.  Do not print on front and back.  Complete, sign and bring both pages to your first visit.

Download

 

 

Release of Information

A - Fill-out Form Online

  • gb release of Information online

    Note: This form will be submitted to the Asheville Office.

    Filling out a form online is easy.  Simply click the "Fill online" button below, following the instructions and click "Done" to submit your form.

    Please complete, sign and submit.

    Fill online
  • gb release of Information online

    Note: This form will be submitted to the Sylva Office.

    Filling out a form online is easy.  Simply click the "Fill online" button below, following the instructions and click "Done" to submit your form.

    Please complete, sign and submit.

    Fill online
  • gb release of Information online

    Note: This form will be submitted to the Waynesville Office.

    Filling out a form online is easy.  Simply click the "Fill online" button below, following the instructions and click "Done" to submit your form.

    Please complete, sign and submit.

    Fill online

B - Download and Bring to Office

GB Release of InformationClick the "Download" button to open the document. 

Print the document, complete, sign and bring to your first visit.

Download

 

 

 

Insurance Card

A - Fill-out Form Online

  • gb insurance mailer card online

    Note: This form will be submitted to the Asheville Office.

    Filling out a form online is easy.  Simply click the "Fill online" button below, following the instructions and click "Done" to submit your form.

    Please complete, sign and submit.

    Fill online
  • gb insurance mailer card online

    Note: This form will be submitted to the Sylva Office.

    Filling out a form online is easy.  Simply click the "Fill online" button below, following the instructions and click "Done" to submit your form.

    Please complete, sign and submit.

    Fill online
  • gb insurance mailer card online

    Note: This form will be submitted to the Waynesville Office.

    Filling out a form online is easy.  Simply click the "Fill online" button below, following the instructions and click "Done" to submit your form.

    Please complete, sign and submit.

    Fill online

B - Download and Bring to Office

gb insurance mailer cardClick the "Download" button to open the document. 

Print the document, complete, sign and bring to your first visit.

Download

 

 

3 - Schedule Appointment

Ready to schedule a dental appointment?   Click the link below or call us and we'll be happy to schedule your new appointment!

Asheville
+1 (828) 274-9220
Sylva
+1 (828) 586-9333
Waynesville
+1 (828) 454-9156
Asheville
+1 (828) 274-9220
Sylva
+1 (828) 586-9333
Waynesville
+1 (828) 454-9156
 
 

Adobe Acrobat Reader

adobe readerThe above patient dental forms are in an Adobe PDF format for easier printing.  You must have the Adobe Acrobat viewer installed on your machine to view the documents.  To install the Acrobat Reader, go to the Adobe Acrobat download page and follow the on-screen instructions.

What's Next?

1 - Getting to Know Your Child

Are you a new patient? Please have your child fill out the following sheet so our staff and doctors know how to make your little one happy!

    It's All About You!

2 - New Patient Forms

Please complete the following forms online or download, fill them out and bring them to your first visit.

    Welcome Form
    Release of Information
    Insurance Card

3 - Schedule Appointment

  Schedule an Appointment

Patient Pay Center

Make an Online Payment Now

Use Provider Statement Code: JQS1RR
to make a payment.