Patient Forms

Don't want to spend fill out paperwork before your child's dental appointment? The below forms can be completed before your child's visit to Kidz Dental to reduce your stress in the dental office.
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Printable Patient Forms

The below patient forms can be printed and completed before your child’s visit to Kidz Dental. Please bring the completed forms with you during your child’s appointment.

Patient Intake Form

Click here to access our patient intake form to download, print, or complete ahead of time.

Formulario de admisión del paciente

Haga clic aquí para acceder a nuestro formulario de admisión de pacientes y descargarlo, imprimirlo o completarlo con anticipación.

Pediatric Dentist Near You


5306 South Blvd., Ste A
Charlotte, NC 28217


(980) 226-5400


(980) 226-5927



Monday: 8:30 AM - 4:30 PM
Tuesday: 8:30 AM - 4:30 PM
Wednesday: 8:30 AM - 4:30 PM
Thursday: 8:30 AM - 4:30 PM
Friday: 8:30 AM - 1:00 PM
Saturday: Closed
Sunday: Closed

Excellence in Dental Care for Your Children

Contact Us Today for an Appointment

Don’t wait, schedule an appointment with our friendly dental team today and keep your child's smile healthy and bright.