COVID-19 UPDATE: In accordance with American Dental Association (ADA) guidance, our office is currently available for your DENTAL EMERGENCY NEEDS.  If you believe you may be experiencing a dental emergency, please contact our office immediately at (704)896-7660 and we will be glad to assist you.  You can also e-mail questions to
Cornelius Dentistry

New Patient Forms

Save time by printing and filling out necessary forms before you come in. Feel free to give us a call if you have any questions.

Patient Registration

Dental History

Medical History

Release of Records

Authorization to Disclose

Consent to Treat, Financial & Cancellation

Notice of Privacy Practices

We Are Currently Accepting New Patients
If you have difficulty using our website, please email us or call us at (704) 896-7660
View the ADA Accessibility Statement