Patient Registration

Patient Forms:

  • Patient Registration
  • Medical Health History
  • HIPAA Patient Privacy Act
  • Patient Authorization Form
  • Financial Policy

Click the following link to fill out your paperwork beforehand by viewing them online to print and bring with you prior to your first dental visit or email to [email protected]. Thank you! If you need assistance, please call the office at Patrick Michel DMD PA Phone Number (336) 768-3314.


What To Expect
Being well-prepared for your appointment will ensure that the dentist has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our Meet Our Staff page and familiarize yourself with our team.  We look forward to your first visit.