Southern Village Pediatric Dentistry - Chapel Hil Pediatric Dental OfficeNew Patient Information & Forms

Overview
Your first visit to Southern Village Pediatric Dentistry establishes a vital foundation for our relationship with you and your child. During the first visit, we make sure to obtain important background information, like your child’s medical history, and give you both time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Patient Forms

Forms for New Patients
Please print and fill these forms out so we can expedite your first visit.

Forms for Existing Patients
Please print and fill this form out for all routine cleaning appointments

Click here to fill out your 6 month update online!

Forms for Doctors
This form should be filled out by referring doctors.


In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

What to expect
Our office, as well as the American Academy of Pediatric Dentistry and the American Academy of Pediatrics, recommends that your child visit the dentist by his/her 1st birthday. As your child enters our kid-friendly office, he or she will be introduced to our wonderful dental team. During the initial visit, our staff and Dr. Hardin will review your child’s medical history and discuss your child’s daily dietary and oral hygiene routines. The goal of the first dental visit is to introduce your child to a lifetime of healthy dental habits. The purpose of the “First Visit” is to provide you with a wealth of information to help you care for your child’s teeth now and in the future. We love children and want them to have a fun, exciting, and educational experience. We want children of all ages to love coming to the dentist.

We encourage you to tell your child about their “First Dental Visit”. We recommend reading books that will help explain to your child what he or she should expect at their first dental visit. Please tell them that it will be fun and exciting. We ask that you please refrain from using words like “shot”, “needle”, “drill”, or “pull”. Our staff is highly trained to use words that convey the same meaning, but are less intimidating to your child. We appreciate your help in making your child’s dental visit a very positive experience.

We invite you to stay with your child during the initial examination. During future appointments, we suggest you allow your child to accompany our staff through the dental experience. We are all highly experienced in helping children overcome anxiety and dental fear. Studies and experience have shown that most children over the age of 3 react more positively when permitted to experience the dental visit on their own and in an environment designed for children.
For the safety and privacy of all patients, other children who are not being treated should remain in the reception room with a supervising adult.

Directions and Parking
Our office is conveniently located off of 15-501 South in Southern Village.  Turn onto Market Street from 15-501 and follow the one-way circle around the green. We are located above Merlion Restaurant in building 410. Our entrance is directly across from the elevators on the second level. There are signs that will direct you to the two levels of parking in the parking deck located underneath building 410.

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