Patient Registration

You may preregister with our office by filling out our printable Patient Registration Forms.
After you have completed the form, please make sure to bring it with you at the time of
your appointment.

Technical Note:

PC Users
Our online form uses Adobe Acrobat Reader 9 or greater plug-in to conveniently print the
form from home or work. Please download the free plug-in from Adobe’s web site if it is
not already installed on your system. It is important that you have at least version 9 of the
plug-in to successfully use our form.

Mac Users
You must open and submit the form in a Safari Browser with the latest Mac operating
system. It is also important to have the latest version of Adobe Acrobat Reader on your
computer in order to print your form to our office correctly, please download the free
plug-in from Adobe’s web site.

Contact Us

101-A Chadwick Square Court
Hendersonville, NC 28739

Listen to what our patients have to say!

Today I had a 2 1/2 hour appointment with Dr. Pete Richards to repair a crown which had come off. In the process he cleaned off the remainder of the old tooth, performed a root canal, built up the old tooth and created a new crown, which was put in place. He along with his staff was highly professional, friendly and did an outstanding job. Frank Sacho, 1/21/2015

Read Patient Testimonials >