Patient Registration

New Dental Patient Forms

Choose a link below to download and print forms to bring to your first visit to Carolinas Dental Health of Gastonia. Save time in office by completing them at home and bring to your first appointment. If you are not able to bring your completed forms, please arrive early to allow time to complete forms before your appointment.

For assistance, please call our Gastonia office: Gastonia Family Dental Office Phone Number 704-864-8896.

• Medical Health History
• New Patient Form
• Notice of Privacy Practices
• Child’s Medical History
• Child’s Dental History

Technical Note

These forms are in PDF format. If you do not have Adobe Reader installed on your computer, you may download Acrobat Reader for free and use it to access these forms.