New Patient Form

Before coming to Lisa Jo Adornetto, DDS for your dental appointment, please print and fill out the forms below. You can either bring the physical paper with you or email to manage@adornettodds.comIf you have any questions, please call our office at (336) 288-9878. 

Record Release Form - For New Patients Coming To Us

Please fill out and return this form so we can obtain your dental records before your appointment. You can either bring the physical paper with you or email to manage@adornettodds.comIf you have any questions, please call our office at (336) 288-9878. 

Record Release Form - For Patients Transferring Away From Us

This form is for patients that are transferring to another dentist.  You can either bring the physical paper with you or email to manage@adornettodds.comIf you have any questions, please call our office at (336) 288-9878. 

Financial Policy Form

This form has our financial policies, please fill it out and return it to us before your appointment. You can either bring the physical paper with you or email to manage@adornettodds.comIf you have any questions, please call our office at (336) 288-9878.