Patient Forms
Meet Taylor and her mom, Susan!
For your convenience, you may download and print out our forms prior to your first visit.
Adult Form
Adult Health History
Child Form
Child Health History
Kelly Mitchell, DDS, MS and Brian Bartlett, DDS, MS
5314-B West Friendly Ave. | Greensboro, NC 27410 | 336.855.8900
224 Broad St. | Kernersville, NC 27284 | 336.992.2520
1009 NC Hwy 150 | Summerfield, NC 27358 | 336.298.4650
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