South Georgia Pediatric Dentistry | Carly Thomas, DDS  I  Chance Powell, DDS | Specialists in Pediatric Dentistry

Important Forms

Please print forms and bring them with you to your child's first appointment. 
We will not receive it if you submit it electronically.


* The above files require Adobe Acrobat Reader. Most computers have Adobe Acrobat installed already, if you need to install Adobe Acrobat, please go here ( to download and install it. After installing Adobe Acrobat you may return to this web page to use the forms above.


3227 N Oak St. Ext. Suite A
Valdosta, GA 31605

Office Hours: 8:30 - 5:00
Summer Office Hours: 8:00 - 3:00

Telephone: 229 247 3200
Fax: 229 241 1900

Powered by PDgo