Dr. Emily Snapp & Dr. Summer Suttles
10027 Park Cedar Drive, Suite 100, Charlotte, NC 28210
Current Patients 704-752-0500 | New Patients: 704-504-7795

Printable Patient Forms

As a new patient to our South Charlotte dentist office, we want to help save you time in our lobby area filling our paperwork before your initial consultation and exam. Below are our Patient Information, Medical History, Dental History and HIPPA privacy forms for you to quickly click on, print, fill out and bring with you to our office. You will need Adobe Reader to open up the PDF documents below, so click here if you can not open the files. If you have any questions, please feel free to call us at 704.752.0500.

Would you prefer to fill out all of your forms online instead of printing them?
Click HERE to log into our iDent secure portal for online forms.

  Patient Information Form

  Patient Medical History Form

  Patient Dental History Form

  Patient Records & Information Release Form

  HIPPA Form