Thank you for selcting our dental healthcare team! At Hilton Dental Clinic our patients are our #1 priority. We pride ourselves on not only excellent dental services but also great customer service. To help us meet all your dental healthcare needs, please print and fill out this form completely in ink. If you have recently called and scheduled an upcoming appointment with us, please take the below PDF, fill it out and bring to your appointment. We value your time and want to make your process with us as smoothly and efficient as possible.

Please reach out to us at 228-864-4778 with any questions!