We are delighted to welcome you to our practice in Charlotte, North Carolina, and are pleased that you chose us to serve your dental needs. We are serious about providing superior dental care at reasonable prices and proud of our dedication to our patients. Our goal is to help you feel and look your very best through excellent dental care.

Your appointment with our dentist will take approximately 2 hours. To ensure that you are seen promptly, we would appreciate it if you would click on the new patient questionnaire and fill out the following forms:

1. Patient Information
2. Medical History
3. Notice of Privacy Practices
4. Authorization for Compound Release Info

Once you have completed the forms, hit the submit button and they will upload to our system automatically.

If you are unable to make the appointment you have scheduled with us, please notify us at least 48 hours in advance. We would be glad to reschedule the appointment at a more convenient time, if necessary. In the meantime, we look forward to meeting you and serving your needs.

Thanks again for choosing our dental practice.

Sincerely,
Dr. Derek C. Barnes and Team

P.S. Remember to bring any Insurance (Medical or Dental) cards that might apply to you or your family when you come. We can then include this information with your records.

Online Patient Forms