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
COVID-19 UPDATE: We are now seeing patients for all services and have resumed a normal schedule with additional protocols to ensure the safety of our patients and team.  Call today at (704)896-7660 to find out more or to schedule an appointment!