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Business Information

Blake Nelson, DDS
Cosmetic, Implant & Sedation Dentistry in Winston-Salem, North Carolina
(336) 760-1277

New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call at (336) 760-1277 if you have any questions.

Health History Form
Patient Information Form
Acknowledgement of HIPAA Policies and Procedures
HIPAA Policies and Procedures
Financial Policies
Referral Form
Patient Record Release Form

Location

Blake Nelson, DDS

3066 Trenwest Dr
Winston-Salem, NC 27103
Phone: (336) 760-1277
Hours:
Monday – |
Tuesday – |
Wednesday – |
Thursday – |
Friday – |
Saturday – Open for Emergencies
Sunday – Open for Emergencies