PHONE (704) 364-3717 | FAX (704) 665-0996

New Patient Registration

Thank you for choosing Charlotte Prosthodontics. Before your appointment, we ask that you take time to fill out our New Patient forms in order to make your visit more efficient. By completing the forms before your appointment you can save up to 20 minutes in our office.

CLICK HERE to complete and submit our New Patient forms.

Existing Patient Registration

Please go to the following link and complete the Medical/Health History Forms and the Patient Screening Form prior to your appointment

CLICK HERE to complete our interactive Patient forms.

If you have any difficulties accessing these forms please call our office at (704) 364-3717 so we may assist you.