FIRST VISIT


Your initial appointment will consist of any necessary X-rays, diagnosis and a consultation regarding your treatment options. If you are in extreme pain, we will do our best to see you, on most occasions, the same day that you call. We will make every effort to relieve your pain through emergency treatment, and then schedule you for the necessary follow-ups.


Please assist us by providing the following information at the time of your consultation:

  • Current Dental X-rays (if applicable)
  • A list of medications you are presently taking


If you have dental insurance, bring your current insurance card. If you don’t have one, we will need the subscriber number, group number, and phone number. This will save time and allow us to help you in the processing of your claim.


IMPORTANT: All patients under the age of 18 years must be accompanied by a parent or guardian at the consultation visit.

Please alert the office if you have a medical condition that may be of concern prior to treatment (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.).

Financial Policy


For your convenience, we accept all major credit cards, cash, money orders and personal checks. Also, we participate with CareCredit to help those patients who desire a payment plan (up to 12 months, interest free). Unless other arrangements are made in advance, payment is due at the time service is rendered.

If you have questions regarding your account, please contact us at (704) 548-0870. Many times, a simple telephone call will clear up any misunderstandings.

Please remember you are fully responsible for all fees charged by this office, regardless of your insurance coverage.

X-Rays

If your dentist or physician has taken X-rays, please have them forwarded to our office as they may be helpful in our diagnosis. A digital radiograph can be emailed to us. If additional films are necessary, they can be taken at our facility.

Patient Forms


Please print and complete these forms at home before your first appointment. If you need assistance with downloading or printing these forms, please contact our office:

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HIPAA Forms PDF | ONLINE

Medical History PDF | ONLINE

Financial Policy PDF | ONLINE

Consent for Minors PDF | ONLINE


For your convenience, our Patient Forms are available for download here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded by clicking on the icon below.

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