New Patients

Cosmetic and Family Dentist in Raleigh

We Welcome New Patients

We accept new patients of all ages. You will have the opportunity to meet with our team and get to know Dr. Bassiri. We are committed to educating you about your dental needs and will answer any questions you may have concerning your treatment.

Our goal is to provide you with the highest level of dental care available today in the most technologically advanced and relaxing and friendly environment. Thank you for your confidence in our dental office and we look forward to meeting you soon.

New Patient Forms

To provide you with the most efficient new patient experience, please click below and complete the forms online before your first appointment.

Simply click on link to our new patient registration forms and complete at your convenience before your appointment. You don’t have to download or print anything.  Once you submit the forms, we will securely receive your information and we’ll start preparing for your visit and you won’t have to come in early to fill out the forms or sit and wait while we process your paperwork.

New Patient Adult Forms
New Patient Child Forms
HIPAA Notice of Privacy Practices

If you have recent X-rays from a previous dental office, please fill out the following release form so that we can help you obtain your records before your appointment.

Dental Record Release Form

Your First Visit

Your first visit with us may include:

  • Comprehensive oral examination
  • Full mouth digital x-rays
  • Oral cancer screening
  • Oral hygiene instruction
  • Teeth cleaning
  • One-on-one consultation with our dentist to discuss your needs, concerns, goals, and treatment options

During your visit, we will answer any and all questions about your oral health. We will provide a detailed financial consultation to ensure your treatments are timed effectively and affordably.

Insurance and Billing

We can help you maximize your benefits. We recommend that you contact our office prior to your appointment to provide us with insurance information for verification of benefits. We accept most major dental insurances and will file most claims for you as a courtesy. We will provide you with an explanation of your dental benefits and financial responsibilities up front, and work with you to ensure financing, if needed.

Financing Options

We provide multiple financing options to ensure you can receive the treatments you need with a plan you can afford.

Pay Online