Brookdale Dental Care

Brookdale Dental Care | Charlotte, NC

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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 Patients:

Patient Paperwork Packet

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

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