Patient Forms

At Clifton & Mauney, we’ve worked with countless kids to help them achieve healthy smiles, and while we have a talented team of doctors and staff members that utilize the most advanced pediatric dental and orthodontic treatment methods and technology, the key to the best smile is a personalized approach. From the moment your kids walk through our door, our focus is on them, their smile, their comfort, and what they need to have the best smile possible. These first steps are extremely important when it comes to establishing a strong foundation of oral health, so getting to know your kids, their preferences, and their oral health needs is paramount, and our new patient forms help make this starting process move along efficiently so we can get to crafting your child’s personalized treatment plan.


little girl sitting in dentist chair after her parent filled out patient forms

Patient Form Information

Previously, we would typically provide you with physical copies of new patient forms to be filled out in the office at your first visit. Due to new protocols, you must now fill out and submit the form online before arriving at our office.

Prior to your appointment, you will receive an email from our office with the necessary forms that can be completed through your patient portal. By completing the new patient form online, we can get your child in to see the dentist or orthodontist sooner for their examination. If you have any issues accessing the form, feel free to contact us for assistance.

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Thank You For Choosing Clifton & Mauney

By choosing our practice for your child’s dental and orthodontic treatment needs, you can be confident that their smile is in the best hands. We have everything your child needs to have a healthy smile, all under one roof, and we’re proud to have been an integral part of the Chapel Hill, NC community so it’s all close to home. If you have any questions about the pediatric dental care or orthodontic treatment that we offer, just contact us and a member of our staff will provide you with all the information you need! We look forward to seeing you and your kids in our office soon!