Rockingham County Health and Human Services
Felissa Ferrell
Director of Health and Human Services
Felissa Ferrell
Director of Social Services
Susan Young, BSN,RN
Interim Health Director
 
 
 

Rockingham County Seal
Dental Forms

Dental Electronic Forms: 

To continue making your dental experience pleasant, we have conveniently provided our dental forms below, so that you can fill them out in the comfort of your home and bring them into the office with you.

NOTE: Our patient forms are PDF files that can be viewed in a browser window or downloaded to your computer.
You will need a PDF reader such as Adobe Reader to view and print the forms below.  
       
       
       
       
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      Rockingham County Health and Human Services
      371 NC 65 Wentworth, North Carolina 27375 | Phone: 336-342-8140 | Fax: 336-342-8356 | Contact Us
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