Dr. Samir Naik

Born in Bombay, India and after spending his formative years in Columbia, SC, Dr. Samir Naik completed his undergraduate studies at the University of Illinois and his dental training at Northwestern University. After practicing for 15 years in the Washington, DC area, he and his family (Bela and Roan) landed in the Triangle in the summer of 2013 for the next chapter of life. He has come to appreciate not just the lifelong merits of sound dental health but also the overall psychological and social value of comprehensive, modern dentistry. When not practicing dentistry or being an involved parent, Dr. Naik enjoys the local food and drink scene with friends, is a sports & fitness and current events junkie, and follows his favorite sports teams as closely as possible.

Patient Forms - SFD

Your first visit to Southpoint Family Dentistry establishes a vital foundation for our relationship with you. During the first visit, we make sure to gather important background information, like medical history, and allow time for patients to get to know us.

 

Please click the button below to fill out our Patient forms electroincially or download the forms and bring to your visit.

Please print and fill out these forms so we can expedite your first visit, or use button below to fill out online.

 

Health History Form

Receipt of Notice of Privacy Policies

Financial Policy

Email Consent

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