Image that represents the Forms that patients should be aware of

If you are making your first visit to our office, we will ask you to complete a few brief forms prior to seeing Dr. Wilkins. For your convenience, these forms are provided below so that you may fill them out at your leisure and bring them with you to your appointment. To download the forms click on the appropriate items highlighted in green below:

General Dentistry Patient Information

Financial Options

HIPAA Privacy Practices

HIPAA Acknowledgement of Receipt of Notice Privacy Practices

HIPAA Consent for Disclosure

Authorization to Release Healthcare Information

Local Anesthetic & Nitrous Oxide Consent Form

Making Winnsboro Smile

Welcome to the practice of Dr. Philip C. Wilkins, where we strive to exceed your expectations through our friendly staff, modern office and professional results. We are located in downtown Winnsboro, South Carolina at 124 North Congress Street.

Contact Info

For an appointment contact us today!

(803) 635.6162

pcwilkins@truvista.net

124 N. Congress Street, Winnsboro, SC

Philip C. Wilkins, DMD

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