Patient Forms, Map and Directions to Shelby Office

Your first visit to Boiling Springs Family Dentistry involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There’s also background information about our committed staff and our first visit procedures. You can also save some time by printing out and completing the patient forms in advance of your appointment.

Mission Statement
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.
goal is to provide you with quality dentistry to help you maitain your teeth for your lifetime.

To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.


Patient Forms
Please print and fill out these forms so we can expedite your first visit:

Patient Registration Form
Medical History Form
Friends and Family Form    
Practice Policies
Consent Form Adult
Consent Form Child

In order to view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.

We know you have many choices when choosing a dentist in Shelby, NC so we have made requesting an appointment a simple process via our web site. If, for any reason you cannot keep a scheduled appointment, or will be delayed, please call us as soon as possible.

Insurance and Financial Information

As a courtesy to our patients, we will file most dental insurances for you.  At each visit, we will need your insurancecard for proof of coverage. Our office will estimate your insurance benefit; co-payment of the balance is expected at the time services are rendered. We accept cash, debit cards, all major credit cards, and personal checks. We require a minimum charge of $10.00 and a $25.00 fee for returned checks. We do offer financing options for patients who qualify. You may contact our office regarding this option

What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

Driving Directions

Local Landmarks - across the street from Springmore School