Patient Forms

Contact Us!

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Office location:
101 E. 1st Street
Sylacauga, AL
Phone: (256) 245-5635

As of December 16, 2016, medical/dental history form can be filled out here.  Click the link below.    Thank you and please call our office if you have any questions at all.

Patient Forms

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.