Patient Forms

Thank for your choosing Worthington Family Dentistry, P.C. for your dental needs! We are a family dentist serving patients of all ages. We are proud to serve patients from across Lake Park, Quitman, Barney, Valdosta, Hahira, Adel, Lakeland, GA and the surrounding areas.

What to Bring to Your First Appointment:

To provide our patients with the best treatment, we request you bring the following items to your initial visit to our practice:

  • Insurance Information / Card
  • Any medical records pertaining to your visit (list of medications you are taking, pre-existing conditions, etc)
  • Photo Identification

Please arrive at least 15 minutes before the start of your scheduled appointment time to fill out necessary paperwork.

Additionally, we recommend filling out and reading the forms below prior to your first appointment. Printing them out and filling them in at home will save you time before your appointment, and will help familiarize you with our practice and the information we need to accurately and safely provide dental treatments to you and your family.

For additional information or questions, please give us a call at 229-242-0063 or fill out a contact form.

We look forward to welcoming you to our patient family!