Lessen Paperwork Hassles With Patient Forms

Our team wants to help eliminate any stress or anxiety you may have about the dentist. One way we do this is by making our new patient forms in Charlotte available for you to fill out ahead of time.

You’ll have one less thing to do when you arrive for your first appointment. The last thing you want to do is fill out paperwork while juggling your insurance card, driver’s license, and other belongings.

Complete your forms ahead of time, and you’ll be ready to go when you arrive! Call 704-247-6499 with any questions you have or to make an appointment.

New Patient Form

Read Why Our Patients Love Us

“I had not been to the dentist in 7 years. Very thankful for finding this one! Dilworth Family Dentistry has been great. They got me in to my first appointment in a few business days. Then each of my follow …” Read More – Sumner M

“Five stars! Dr. Ma and his assistants are wonderful, and the office is so friendly and helpful. He was able to diagnose and fix the problem quickly.” – Emily K

“Such a good experience! Allison could not have been more friendly and accommodating during appointment scheduling. Charity was so welcoming and professional with X-rays and getting me settled in. Lauren and Dr. Ralph were amazing! I’m so happy to have …” Read More – Dana S

“Wonderful first experience at Dilworth Family Dentistry! Dr. Ma was awesome and Tracy did a great job on my cleaning- highly recommended!” – Benjamin S

“Dr. Ma and the Dilworth Family Dentistry staff are top-notch. I’ve used their services for over 10 years, and in every respect they have provided outstanding care. Always helpful and courteous, they make sure to provide excellent care and follow …” Read More – Eric B

“My experience with Dilworth Family Dentistry was one of the BEST treatments from beginning to end, from the office staff, dental assistant, and Dr Ralph. I have found my new home for dental care. Thank you for being patient, explaining, …” Read More – Damaris M

“I’ve been coming to Dilworth Family Dentistry for almost 20 years and have always felt cared for, but I was even more impressed today when I needed an urgent dental procedure. They got me in right away, and addressed all …” Read More – Michelle H

“Have been coming to Dilworth for 30 plus years. Dr Ma has been great. Gentle and knowledgeable with great caring pleasant staff.” – Deborah H

“The office staff were very friendly and they made us feel right at home. I would definitely recommend them to anyone. Thank you for fantastic service and customer service” – Shawn B

“Always get the most awesome dental care. Everyone takes such good care of me and. My dental needs. I have never had a single complaint against them. From the office personal to Dental Hygienist. To the Dr. In who takes …” Read More – Lynn P