DentureCare and Implant Solutions Online Patient Registration

Dentistry Patient Registration In Rocky Mount NC

Please download and fill-out our patient registration form. After you have completed the form, please make sure to bring it on your first visit to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Patient Registration Form

By filling out our patient registration form in advance, we are able to provide you with a faster and more convenient experience upon your first visit to our office. If you have any questions about the patient registration process, please call us at DentureCare and Implant Solutions Office Phone Number 252-977-7197.

Office Hours

Monday through Thursday:   7:30 AM - 4:00 PM
Friday:   7:30 AM - 12:00 PM

Implant Consult Form

Implant Consultation Form


New Patient Information

Thank you for choosing DentureCare and Implant Solutions. We strive to deliver the best diagnosis and treatment that our practice has to offer. We believe that these goals can be met through a continuous and open dialogue between you and our entire team.

Printable Forms for New Patients

Stop coping and start living again. Call us

If you're in need of restorative dental treatments, Drs. Jernigan or Jernigan and their team have the expertise to provide these services with the highest level of care.
Call us: 252-977-7197