Patient Forms, Map and Directions to Cameron Office

Your first visit to Carolina Lakes Family Dental establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as patient forms, 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 even save some time at your first visit by electronically completing and sending the patient forms below in advance of your appointment.  Also, please bring a picture ID card and a list of your current medications with you.

Mission Statement

Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.

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.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.

Patient Forms

Please click here to fill out and submit your online Patient Forms and bring your insurance card and drivers license or ID to your first visit.

New Patient Packet (Adults)

New Patient Packet (Children < 18 and Dependants)

Health History Update (To Be Completed Annually)

Treatment Authorization Minors (Preventative Treatment Only)

Treatment Authorization Minors - Designated Adult

Records Request

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.

In House Dental Savings Program for Self-Pay Patients

It is the goal of Carolina Lakes Family Dental to provide quality dental care at an affordable price to our patients. However, due to the rising cost of healthcare, individuals and families seeking dental insurance often find it too expensive to even consider. In an effort to encourage good dental health among our patients, we have developed an "in-house" dental saving program to patients who do not have dental insurance. This saving program provides a wide scope of benefits at an affordable price to help minimize the cost of your dental needs.  Please call and schedule an appointment for further details.

Driving Directions

Local Landmarks:
We are conveniently located off southbound NC Highway 24-87 in Cameron, North Carolina (Spout Springs). We are approximately 1/4 mile north of Food Lion and McDonald's.

Frequently Asked Questions

What are the daily office hours?
Our office hours are Monday through Thursday, 8:00AM to 5:30PM.

How to get to your office?
Our office is conveniently located off Highway 24/87 in Cameron NC. We are 1/4 mile north of the YMCA and Food lion Shopping center. If you come from Fayetteville, please take the highway 24 overpass make U--turn to get to our office. If you come from Sanford, once you passed Bufflo Lake road intersection and highway 24 overpass, we are located on your right.

Why do you need to see my insurance card at every visit?
We must view your insurance card at each visit to ensure that all information is the same as what we have in our system.

Do I need to bring in my old records and how do I get them sent!
Your prior records can be helpful, especially if the doctor's medical decision-making will be based upon information contained in your medical history. You can contact your previous doctor's office before your visit with us and have the records sent to our office. You can also complete a form at your visit with us and we will fax it to the other office for release of the records (you will need to provide their fax number).

Why do you recommend that I arrive 15 minutes before my scheduled appointment time?
Arriving early allows you time to complete any necessary paperwork and gives our receptionists time to process your chart and any changes to your information. We strive to keep your wait time to a minimum and this makes it easier to keep our schedules running on time to better accommodate our patients.

What should I do if I need to get hold of the doctor?
It's easiest to talk to the doctor during your office visit. But if you have non-life-threatening concerns after hours, you can call our voicemail box, and please speak slowly and clearly. You'll need to leave the following information:

  • Your complete name, including the spelling of your last name
  • Your date of birth
  • The reason for your call
  • Your daytime telephone number
  • Any allergies you have to medications

We will try to call you back as soon as possible. If schedule permits, our doctor will contact you immediately.

How do I get a copy of my dental records from your office?

Carolina Lakes Family Dental will not release any information contained in your medical record to anyone without your written consent. If you need to contact dental records staff, please call the office.

Where can I get a copy of your privacy practices?
Our privacy practices are available in the office or you may download a copy here: Privacy Policy

Where do I get information on my procedure?
At Carolina Lakes Family Dental, we are working hard to get our patients well informed of their dental care. If you are at our office, please talk to the dentist if you have any questions or concerns. We also have a Patient Library on this website. This is a great source for you to gain knowledge about your dental care.

Contact Us

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Our Location

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Hours of Operation

Our Regular Schedule

Carolina Lakes Family Dental


8:00 am-5:30 pm


8:00 am-5:30 pm


8:00 am-5:30 pm


8:00 am-5:30 pm