Dentist in Greensboro, NC
Michelle H. Mottinger, DDS
2710 Henry St. Ste 104
Greensboro, NC 27405-4962

Phone (336) 375-1825
Online Office Forms
 

Online Office Forms for our Greensboro, NC office

Secure Online Pre-Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. After you have submitted your forms, you will have the option to upload images of your health and dental insurance cards.

Click below:

ONLINE REGISTRATION FORM


On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

If you have any questions while filling out your Patient Registration forms, please call us at: 336-375-1825.

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