James K. Cornick, DDS
40 Tanyard Road
Rocky Mount, VA 24151
(540) 483-5544

New Patient Forms

At Crooked Road Family Dentistry, we’re always happy to see new patients. And to make your first visit with us as convenient as possible, we’ve made our new patient forms available here on our website for you to download. Simply print them out and complete them before you arrive.

New Patient Forms

Dental Insurance and Payment

We believe that care should be as accessible and affordable as possible. That’s why we’re happy to accept a range of different insurance plans. We’ll also file a claim with your insurance provider, so you don’t have to. What’s more, we accept a wide range of payment options, including cash, check, and all major credit cards.