Jamie Chesney

Scheduling Coordinator

I am the scheduling coordinator here at SFD and have been in dentistry for over 6 years. Born and raised in Sanford, NC, it is a pleasure for me to help people and and get patients in the door to help move them towards optimal dental health. Outside of work, I like things like amusement parks, video games, and concerts which provide an adrenaline rush.

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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