Welcome to Sandhills Endodontics!

Opening Hours : 7:30-5:00 (Fri. 7:30-12:00)
  Contact : 910-485-3636

Forms for a Visit

There are two sets of forms below. The first set are forms that need to be filled out for your visit. You can fill them out and bring then with you, or fill them out when you arrive at the office.

The second set of forms are information that will help you during and after your visit.

  • Forms for Visit
  • Visit Information

Acknowledgement of Receipt Of Privacy Practice Form

Endodontic Consent and Information Form

Endodontic Consent and Information Form

Following Endodontic Surgery

Notice of Privacy Practices

Following Root Canal Therapy