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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, a full copy of which can be viewed by clicking here.)

Financial Policies

Our Client Reviews

Gold Hill Dentistry

4.4 / 5.0

Based on 97 reviews

Marsha Rose

The staff at Gold Hill Dentistry is wonderful. They are polite, professional and helpful I have a history of working as both a dental assistant and hygienist in another state. I’m extremely particular when it comes to my dental care. My daughter recommended Gold Hill. I am very pleased with my dental care. I highly recommend the practice.

Don Rowley

The entire staff at Gold Hill Family Dentistry are professional, friendly, and very good at what they do. I’ve made numerous recommendations to family and friends. Very happy with the dental work they do. Scheduling, insurance processing, and follow up are always first class. Dr Kavi is the man.

Angelique Autumn McGowan

I highly recommend this dental practice. The staff are gracious, helpful, courteous and accommodating. Dr. Sagunarthy is a wonderful dentist. This is from someone who has always suffered with dental and gum issues. He is current on dental information, kind, gentle and professional! I am so happy to have found this practice!

Richard DeCristo

Dr. Sagunarthy is one of if not the best dentist I ever went to. He recently replaced a crown that was botched by another dentist and the procedure was done perfectly and painlessly. I first went to Gold Hill Dentistry for a second opinion on four crowns and maybe a root canal I needed asap from another dentist in Fort Mill. As it turned out I needed the crown replacement and only one other at a later date. That’s about $6000.00 I saved leaving this OTHER FORT MILL DENTIST. In addition to this wonderful dentist, the total staff is outstanding.

Lashae Drake

I had a tummy tuck preformed by Dr. Jones and I love my results. I'm so happy with my decision to choose him as my plastic surgeon.

Chrissy Jaselskis

Awesome dentist. Everyone was nice and professional. Very thorough job cleaning my teeth. Lots of great conversations. Staff made an uncomfortable place for me very comfortable. Thank you.

Thomas Dorsett

Very professional and caring staff. Highly recommend the service, they take personal care with all patience. I have experienced some of the best Hygienist.

Bill Strickland

Great staff. Very knowledgeable and friendly. Would heartily recommend as they have been taking care of my family for years.

Contact Us

2848 Pleasant Road, #104
Fort Mill, SC 29708

Phone: (803) 547-4466