Audio Presentation

Forms

dental formsAs a way to better serve you and reduce your time spent in our office, we have posted the following forms online for you to fill out in advance of your visit.  If you would like to take a moment to fill these out, you can bring them with you when you come to our office.  If you prefer, you’re welcome to fax these in ahead of your visit, and we will pre-register you and begin the verification of your insurance to cut your wait time at your next visit.

If you prefer to pre-register with our office, please be sure to include a copy of your insurance card, both front and back, and include that with your forms.  Please mail or fax your forms to:

Barry C. Reynolds, D.M.D
P. O. Box 1785
Irmo, S.C. 29063
Fax: (803) 781-2540

pre-registration forms, pre-inscripcion formas, extraction forms