Kyle Taylor, DDS

Tranquil Bay Dental

2415 Penny Road Suite 203

High Point, NC 27265

336-884-8989

At Deep River Pointe

Patient Forms

Your First Visit to Our Dental Office

For optimal dental health, we recommend that you have a complete dental exam and cleaning once every six months. This ensures that your teeth are well-maintained and any problems are spotted early, before they become of significant concern.

What to Bring to Your First Dental Visit

To make your appointment quicker and easier for you, we’ve provided all the forms you need here. You can save time by downloading the Patient Information, Medical History, and HIPAA forms below and filling them out at home. Unless it’s marked Reference Only, we strongly recommend you fill out all these forms before you come to our High Point, NC, office. Then, simply print them out and bring them to your appointment. That way you won’t have to spend time filling out forms in our waiting room!

If you can’t print these at home or don’t have time to, please arrive 30 minutes early to fill out all the necessary paperwork in our office.

Click the links below to download these PDF forms:

What else you should bring with you to your first dental appointment:

  • Records and/or x-rays from previous dental providers
  • Dental insurance card
  • The co-payment required by your insurer – we take cash, check, and credit cards
  • A list of the medications you take

If you have recent x-rays taken by another dentist…

We do accept x-rays from other dentists as long as they are of diagnostic quality and are current. Bitewing x-rays must have been taken within the past six months, and Panoramic x-rays must have been taken within the past five years. X-ray copies must not be too light or too dark. (Often the x-rays we receive from other offices are of poor quality.)

What to Expect at the Dentist

We will perform a complete, accurate assessment of your dental needs prior to any treatment, even before a dental cleaning. This comprehensive examination includes:

  • Radiographic exam (x-rays)
  • Oral cancer exam
  • Gingival (gum) exam
  • An assessment of TMJ function
  • Occlusal (bite) evaluation
  • Charting and assessment of existing restorations
  • Examination of the teeth for cavities, fractures, or other problems.

The entire exam takes approximately one hour and ten minutes.

Flexible Dental Payment Options

We strive to deliver the highest quality, cutting-edge dentistry to our patients. We are dedicated to ensuring you get the dental services you require without causing you significant financial hardship.

We do accept assignment of benefits from your dental insurance carrier. Our insurance specialist will work with your insurance company to maximize your benefits. We will file your insurance for you, but you will be responsible for any payment required by your policy.

For any services not covered by insurance, we accept cash, checks*, and credit cards, including Discover, Mastercard, and VISA. Payment is due the day services are rendered.

For larger cases, we provide our patients with financing options through CareCredit or LendingUSA with options including:

  • Short-term, no-interest payment plans
  • Convenient low-interest financing plans for payments over an extended period

There are no annual fees or prepayment penalties. The approval process is simple and can be done in the office.

*Please note: We charge $30 per check that is returned and an $8 Certified Letter fee.

To make your appointment quicker and easier for you, we’ve provided all our forms you need here. Unless it’s marked Reference Only, we strongly recommend you fill out all these forms before you come to the office. Simply print them out and bring them into our High Point, NC office. That way you won’t have to spend time filling out forms in our waiting room!

If you decide not to fill out your forms in advance, please arrive at our office 30 minutes before your scheduled time to fill out your paperwork and get your insurance sorted out.

Welcome Page

Medical & Dental History

Insurance-About & Verification

Privacy Policies-Reference Only