If you would like to save some time on your first visit, download, print and complete the following forms from home:

- New Patient Form - Download Here | Image of the Adobe Reader symbol with link to the location where this program can be downloaded. PDF Document

- Kids Welcome Letter - Download Here | Image of the Adobe Reader symbol with link to the location where this program can be downloaded. PDF Document

- Insurance Guidelines - Download Here | Image of the Adobe Reader symbol with link to the location where this program can be downloaded. PDF Document

- Request for Release of Records/Radiographs - Download Here | Image of the Adobe Reader symbol with link to the location where this program can be downloaded. PDF Document

- Financial Guidelines - Download Here | Image of the Adobe Reader symbol with link to the location where this program can be downloaded. PDF Document

- Appointment Policy - Download Here | Image of the Adobe Reader symbol with link to the location where this program can be downloaded. PDF Document

- Missed Appointments or Rescheduled Appointments Office Policy - Download Here | Image of the Adobe Reader symbol with link to the location where this program can be downloaded. PDF Document

- Privacy Practices - Download Here | Image of the Adobe Reader symbol with link to the location where this program can be downloaded. PDF Document

Image of the Adobe Reader symbol with link to the location where this program can be downloaded. Note: You'll need Adobe Acrobat Reader in order to download and print the items listed below. If you don't have Acrobat Reader already installed on your computer, you can get it here.


Dr. Fry accepts cash, Visa, Discover, Mastercard and Care Credit.

Dental Insurance: 
Dr. Fry's office is not a participating provider with any dental insurance company; however, we are contracted with Medicaid and North Carolina Health Choice, and we will file any other insurance as a courtesy. Please know that you are responsible at the time of the visit for what we estimate your insurance company will not pay. If our estimate is not enough, we will send you an invoice for the balance.

Please contact us for any additional information on certain insurances, Medicaid, North Carolina Health Choice, and our specific policies. 

 

 


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Wilmington, North Carolina Pediatric Dentist, Dr. Douglas Fry, is dedicated to Pediatric Dentistry for children that includes Pediatric Dental Cleanings, Exams, X-rays, Fluoride, Sealants and more.

Dr. Douglas S. Fry, DDS, PLLC
1911 S. 17th Street, Suite 140 | Wilmington, NC 28403 | Ph: 910-762-7736 | Fx: 910-791-8160
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