Lakeshore Dental. 1200 Gold Hill Road, Fort Mill, SC 29708
OFFERING TRADITIONAL BRACES & INVISALIGN
(803) 396-0000
Patient Information
For your convenience, we have supplied our new patient forms in pdf format. If you wish, click on the link below, print, complete the forms at home, and bring them with you to your first visit! We look forward to greeting you!
New Patient Forms
Appointment Policy
HIPPA Form
Politica de Nombramiento
Formulario de HIPAA
HIPPA Forms
Release of Medical Records
Accounting of Disclosures
Record Release to Patient
Alternative Communications
Web & Social Media Release Form
Notice of Privacy Practices
Privacy Practice Consent Release Form
Aviso de Prácticas de Privacidad
Formulario de autorización de consentimiento de práctica de privacidad
- Lorene B. 9/13/2017
"Dr. Halsey is an amazing dentist. I have a lot of anxiety when it comes to going to the dentist and Dr. Halsey understands how I feel and does her very best to make sure that I am comfortable and relaxed."
- Carol W. 9/13/2017
"Dr. Halsey is an excellent dentist and always look forward to my visits!"
- Angela S. 9/13/2017
"Excellent experience! Everyone from the front desk to Dr. Halsey were so friendly, accommodating, reassuring and non-judgmental. Highly recommended!!"
- Connie A. 09/13/17
"Ladies at reception area were very friendly. The hygienist did an excellent job cleaning my teeth. I really enjoyed meeting Dr. Halsey Very friendly but professional. My experience as a new patient was really great!!"
- Dara G. 09/13/2017
"Dr. Halsey and staff (from the front desk to the dental chair) made my dental experience less traumatic. I cannot thank them all enough for being patient with me, returning my health which had been suffering due to many bad teeth, my confidence, self esteem and my SMILE!"
