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Patient Forms

In order to make your first appointment as smooth and efficient as possible, we offer all patients the opportunity to complete their paperwork online prior to their first appointment. It’s simple, fast, and easy! Please note: if the patient is under 18 years of age, these forms must be completed by a parent or guardian.

All of our patient registration forms are 100% secure and comply with all federal privacy and security requirements.

Please follow each of the links below and complete each form one time. It is important that you complete each of the forms below.

Patient Registration

Medical History

Authorization for Release of Information

Notice of Privacy Policies  (Please note: this form is a confirmation that you have had a chance to read and review our privacy policies)

Financial Policies

Our Client Reviews

Gold Hill Dentistry

4.4 / 5.0

Based on 97 reviews

J.R.

"When I moved I tried another dental practice. Mistake. Now I drive an hour to still use Gold Hill Dentistry. Everyone from the administrative staff to the dentist are professional, kind, and good at what they do."

C.H.

"This was my first appointment with Gold Hill Dentistry so I didn’t exactly know what to expect. However prior to my visit I did google their reviews which were exceptional. That being said, my first visit certainly align with their online reviews! Gold Hill Dentistry’s staff were warm, professional but personable, and they made me feel very comfortable from the moment I entered their office and throughout the entire time services were performed. My cleaning results were great and my teeth and gums felt wonderful! I look forward to a long relationship with Gold Hill Dentistry!"

R.K.

"As soon as you walk in you are greeted like family. Very clean, homie feeling office. Staff and Dr. Setty super friendly, kind and professional."

B.S.

"Gold Hill Dentistry is the absolute best! From the front desk, to the hygienists, to the doctor, they were all great. They bent over backwards to accommodate my special health situation and urgent scheduling needs. And the drilling/filling they did was the quickest and most painless I've ever had. Don't think twice about making them your new go-to for dental work."

C.I.

"Office Staff, dental hygienists, and the dentists are all wonderful. Always friendly, helpful, professional and excellent. With so many "doc in the box" dental centers popping up, Gold Hill is a welcome exception where personal service and attention matter. (I should mention too, that the service does not come at premium cost - they take insurance and their rates are competitive and reasonable). Highly recommend Gold Hill Dentistry."

V.K.

"I really like Gold Hill Dentistry. Everyone is very very friendly and helpful. They are really concerned about your care."

Contact Us

2848 Pleasant Road, #104
Fort Mill, SC 29708

Phone: (803) 547-4466