Patient Forms

We invite you to prepare for your visit with our 1422-A Orchard Lake Drive, Charlotte, NC 28270 dentist, Dr. Derek C. Barnes, by completing our patient forms in advance. You will find the forms below; simply download, print, and complete the forms before your appointment. Call us at Derek C. Barnes, DMD today if you have any questions!

Online Patient Forms


Financial Options

At Derek C. Barnes, DMD, we are committed to providing each patient with high-quality dental care that accommodates their financial situation and meets their dental needs. For information regarding the dental insurance providers we are in network with, please call our 1422-A Orchard Lake Drive, Charlotte, NC 28270 dental office. We also accept alternative payment methods for our patients without dental insurance. We welcome you to call our 1422-A Orchard Lake Drive, Charlotte, NC 28270 office today for more information about our payment options and to schedule your appointment with Dr. Derek C. Barnes. We look forward to caring for you!