Welcome to Pineland Family Dentistry
Thank you for selecting us for your dental care.
We look forward to having you join our family of patients.
In order to make your first appointment with us as smooth as possible, as well as scheduled appropriately, please complete our Online New Patient Registration Form – see below.
Prior completion of these forms will ensure that Dr. Goding and his staff will have all the necessary information to provide the best Comprehensive Oral Health Care for you. Please follow the steps below:
- Contact your previous dental office and ask them to check your records for any current x-rays, (FMX, Panorex, Bitewings). If current x-rays are available, please be sure to ask which ones they have and the dates they were taken (you will need this information when completing the Registration Form) and request they email them to our office at firstname.lastname@example.org. Most offices will require a Release of Dental Records Form be completed and signed.
- Next complete our Online New Patient Registration Form (be sure the x-ray and insurance sections are complete), sign where indicated at the bottom of the page and click Submit Form.
Once we receive any available x-rays and your completed Registration Form, we will call to schedule your first appointment with our office.
Online New Patient Registration Forms
For your convenience, we accept cash, personal checks, money orders, most major credit cards and CareCredit. Payment and Co-Payment are due at time of service.
We accept all dental insurance benefit plans and will submit claims to your plan carrier after each visit.