New Patient Forms

We are in network with Delta Dental and Blue Cross/Blue Shield of North Carolina. We work with most other major insurance providers as well, and we are happy to file insurance as a courtesy to our patients. Please note that we do not accept Medicaid coverage.

For patients without dental insurance, ask us about Care Credit, which provides financing interest-free for up to 12 months, and our special exam/x-ray price for new patients. Whatever your insurance situation, you will find our front office very accommodating and ready to work with you to find a plan to keep you and your family healthy with a solution that fits your budget.

New Patient Form

Required information before we set up your first appointment with our team


Health/Medical History

Tell us about yourself so we can provide the best medical care possible.


Office Policies

What to expect when you visit our facility


Privacy Policy

The privacy of your personal and medical information is very important to us.


We accept the following credit cards

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  • "I was very pleased with the service I have received from both Dr, Ladimer and all of his staff, at a very stressful time. It is always stressful to go to the dentist, but with a doctor that cares and a staff that is awesome, I felt very comfortable from the moment I walked in. Both girls at the front desk greeted me with a smile, and when my procedure was done, I was smiling! Great Office!"
    Doug F.

  • "I have been a patient with New Hope Dental Care for over 10 years. Jackie and Tonya always makes me feel welcome from the time I walk in the door. My hygienist, Carolina, is very thorough and experienced, and makes my smile bright. Heather and Terri, the assistants,makes me comfortable and at ease with my treatment I'm receiving. Dr. Ladimer is easy on the hands ad a pleasure to have work on me. Overall, i enjoy the staff of New Hope Dental Care."
    Teresa V.

  • "The entire staff at Dr. Ladimer's office are great! Everyone is so nice, and always makes me feel welcome and comfortable. Dr. Ladimer does great work and is always gentle. I wouldn't go anywhere else!"
    Mitchell M.