(919) 890-5147   |   13220 Strickland Rd. Suite 166 Raleigh, NC, 27613
13220 Strickland Rd. Suite 166 Raleigh, NC, 27613  
(919) 890-5147

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New Patient Forms

New Patient Forms

Welcome to Leesville Dental Care! We are so happy to be your family dentist in Raleigh.

We understand you have a busy schedule so reducing time spent in the waiting room helps make your first visit a quick and smooth experience. For your convenience, we have made our new-patient paperwork available for you to complete prior to your appointment. Simply print out the forms and bring the completed paperwork with you to your appointment. If you have dental insurance, remember to bring your ID card with you, too.
New Patient Forms