To help you receive the comprehensive and personal care you deserve, we ask you to read and fill out our patient forms prior to your appointment with our periodontists in Hendersonville, North Carolina. For your convenience, you can fill out our forms online and submit them directly to our office. If you have any issues, please call us today. Dr. Shefter, Dr. Fertik, Dr. Andrew Harrell, and our team are excited to meet you!

Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

 

Online Referral Form

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

See Hendersonville
See Asheville
See Brevard