Charlotte Office (704) 364-3717 | Huntersville Office (704) 697-1717 | FAX (704) 665-0996
Online New Patient Forms

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.

Complete The Forms Online

To complete the forms online, simply download and complete the interactive forms on your computer. When you are finished, save them. Then email us at and attach your completed forms.

CLICK HERE to download our interactive New Patient forms.

Adobe ReaderĀ® is required to complete these forms. CLICK HERE for a free download or to upgrade to the most current version.

Complete The Forms By Hand

To complete the forms by hand, simply download and print them. Then bring your completed forms with you when you come to our office for your appointment.

CLICK HERE to for the print version of our New Patient forms.

Alternately, you may request a printed copy of the forms be sent to you by phoning our office at (704) 364-3717.