New Patient Paperwork

Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Patient Registration

For more information about our dental practice or to schedule a consultation, call our office in Charlotte, NC at Charlotte Dentist Office Phone Number 704-378-6591 or schedule an appointment.