Patient Forms
Brookdale Dental Care
Patient Registration Forms
You may access the following forms to assist us with your care. Please print and fill out the following forms, then bring them to your appointment.
New Patient Forms:
Other Forms:
- Acknowledgement of receipt of notice of privacy practices
- Consent form to release records
- Consent to retrieve records
- Consent to treat a minor
- Financial office policy
- Patient consent for use & disclosure of protected health information
- Updated patient information sheet
Get in touch with Brookdale Dental Care today to schedule your appointment.
Learn More About
Brookdale Dental Care
Located in Charlotte, NC. Brookdale Dental Care specializes in general dentistry, oral surgery, periodontics, emergency services, and more. Works with major insurance companies. Same-day emergency appointments are available. Free Invisalign consultation. Request an appointment from us now.
Business Hours
- Mon - Thu
- -
- Friday
- -
- Sat - Sun
- Closed
Open Every Other Friday, 9:00 am to 2:00 pm. Emergency Dental Services Available
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