Patient Forms

Preparing For Your Child’s Next Visit

New Patient Pediatric Dental Visits

Our crew can’t wait to welcome you and your child aboard! Whether this is your child’s very first pediatric dental visit or you’re transferring to our practice, we’re honored to be part of their smile journey. At Wilmington Pediatric Dentistry, every visit is full of gentle care, laughter and bright smiles.

To help your child’s first visit go as smoothly as a calm day on the water, we encourage you to fill out the forms below before your child’s appointment.

Here’s how to get started:

  1. Download the forms below
  2. Print each one
  3. Fill out and sign them
  4. Bring them along to your child’s appointment and you’ll both be ready to set sail!

OR:

  1. Complete the forms online

Download New Patient Forms

Below you’ll find our new patient forms. If you have any questions while filling them out, our friendly crew is just a phone call away at (910) 791-7380. We’re happy to help you navigate the process!

Established Pediatric Dental Visits

We can’t wait to see your child’s bright smile again! At Wilmington Pediatric Dentistry, our goal is for every visit to feel like a day spent by the shore—relaxed, friendly and full of good vibes.

To help their next visit flow as smoothly as an ocean breeze, we encourage you to update your child’s information before their appointment. It’s a quick and easy way to help us keep everything fresh and up to date so you both can enjoy a stress-free experience from check-in to checkout.

No Cavity Plans For Kids And Teens

At Wilmington Pediatric Dentistry, we want every child to have the tools they need to keep their smile as bright as saltwater pearls. That’s why Dr. Skip, Dr. Stephanie and Dr. Katie have created our No Cavity Plans. 

No Cavity Plans are customized guides designed to make cavity prevention easy and fun. They help your child steer clear of dental caries and keep their confidence shining. With the right care routine and a little encouragement from you and our crew—your child can enjoy a lifetime of healthy, beautiful smiles. 

Download the appropriate plan below for your child or teen and help them set sail for brighter, stronger smiles!

Little girl smiling at the camera at Wilmington Pediatric Dentistry.

Ready To Schedule Your Child’s New Or Routine Appointment?

Whether your child is just starting their oral health journey or returning for a routine visit, our friendly crew at Wilmington Pediatric Dentistry is ready to welcome you ashore! From your child’s very first appointment to their next check-up, we make every visit relaxing, positive and full of sunny smiles.

Call us today at (910) 791-7380 to schedule an appointment—let’s keep your child’s smile shining bright!

Healthy Smiles Start at Wilmington Pediatric Dentistry

Expert Pediatric Dental Care

At Wilmington Pediatric Dentistry, we make it easy to schedule your child’s next visit! Whether it’s their first dental checkup or a routine cleaning, our friendly team is here to ensure every experience is positive and stress-free. Give us a call at (910) 791-7380 and our team will confirm your preferred date and time. We look forward to helping your child enjoy a lifetime of healthy, happy smiles!

Curly-haired blonde little boy smiling at Wilmington Pediatric Dentistry after a pulpotomy treatment
Two smiling children hugging outdoors on a sunny day, showing healthy and happy smiles after a dental visit.
Wilmington Pediatric Dentistry light-blue logo featuring a smiling tooth surfing on a toothbrush wave with sun icons.

Catching Waves, Creating Smiles

2606 Iron Gate Dr., Suite 200, Wilmington, NC 28412

(910) 791-7380