Patient Forms, Map and Directions to Reidsville Office
Your first visit to Cynthia A Bolton, DDS establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.
Our vision is to deliver dental services to patients who expect, desire, and appreciate superior dental care. We are committed to being sensitive to individual needs and developing lasting relationships with our patients. Your trust and comfort are priorities for us. Our team is committed to providing you with knowledge about your health, helping you make treatment choices that are appropriate for you.
Please print and fill out these forms so we can expedite your first visit:
- Welcome Letter
- Patient Demographics
- Person Responsible for Account
- Health Information
- Notice of Privacy Practices
- Acknowledgement of Receipt of Notice of Privacy Practices
- Authorization for Release of Information
- Financial Options
In order to view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.