Contact Drs. Civils Dental Practice
Postal Contact
1114 Magnolia Street
Greensboro NC 27401
Click here for a map and directions
Telephone Contact
Tel 336-272-4177
Fax 336-
272-6313
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Online Patient Forms
Virtual New Patient Packet
- What to expect on your first visit
- New Patient Health History
- New Patient Questionnaire
- Directions & Map
Individual Patient Forms
Complete either/both the Patient History and/or Patinet Questionnaire form(s) online, print and fax, postal mail or bring to your appointement.
Existing Patient Health History
Periodic Update (for current patients)
Extractions- Preparing for your Appointment
Extractions- Post- op Care Instructions
Extractions- Informed Consent Form
We do not allow patient forms to be emailed.
