June 22, 2025
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Columbiana Family Dentisty
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  • About Us
  • Forms
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  • Contact Us
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Home» Forms

Forms

Please download and print our New Patient forms before your visit to help shorten your time in our waiting room. Please fill out forms in ink.

New patients may view the map/directions page to find our location, and the about us page to learn more about our staff.

Adult Patient Form

Child Patient Form

Contact Information

Office Hours:
Monday – Thursday
8:00am - 5:00pm


21591 Hwy 25
Columbiana, AL


Phone: 669-6778
Fax: 669-6779


Office Holidays:
July 4th, Closed
Call to confirm hours

Favorite Links

  • American Dental Association
  • City of Columbiana
  • Heart of Dixie Railroad Museum
  • Shelby County Reporter
  • Shelby County Schools
  • South Shelby Chamber of Commerce

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