(205) 506-2451
Baldwin County/Mobile
(251) 272-4970

Patient Info

Our New Patient Forms are now available online so you can complete them at your leisure – saving you time waiting in our office and giving you time to carefully review our policies and procedures. Please print the form below, complete, and bring into our office on the day of your appointment.

Patient Forms

Adult New Patient Forms   Child New Patient Forms

Payment Options

We are committed to providing quality and affordable dental health care. You have multiple options for payment available. For your convenience we accept cash, major insurances, money-orders, Visa, Discover Card, Amex and Mastercard.

mastercarddiscoveramerican expressvisa

We are also pleased to accept CareCredit, please click on the logo below for more information.


Northcutt Dental "I always have a GREAT experience at this office. Everyone is very professional and kind. My hygienist, Olivia, assistant Katie and Dr. Havron are always gentle and thorough..." - Eric Baugh