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3535 Randolph Road
Suite 103-R
Charlotte, NC 28211

COVID Precautions
  • Home
  • About Us
    • Our Story
    • Our Doctors
      • Dr. Paul N. Tolmie, DDS
      • Dr. Kenneth T. Corsig, DMD, MHS
      • Dr. Eric N. Kerr, DDS, MS
      • Dr. Caleb L. Corwin, DDS, MS
  • Our Services
    • Dental Implants
    • Periodontal Therapy
    • Cosmetic Procedures
    • Conscious Sedation
  • For Patients
    • Patient Forms
    • Patient Instructions
    • Payment Options
    • Patient Education
    • Review Us
  • For Dental Professionals
    • Referrals
    • Continuing Education Study Clubs
    • Educational Resources
  • Contact Us
Menu
  • Home
  • About Us
    • Our Story
    • Our Doctors
      • Dr. Paul N. Tolmie, DDS
      • Dr. Kenneth T. Corsig, DMD, MHS
      • Dr. Eric N. Kerr, DDS, MS
      • Dr. Caleb L. Corwin, DDS, MS
  • Our Services
    • Dental Implants
    • Periodontal Therapy
    • Cosmetic Procedures
    • Conscious Sedation
  • For Patients
    • Patient Forms
    • Patient Instructions
    • Payment Options
    • Patient Education
    • Review Us
  • For Dental Professionals
    • Referrals
    • Continuing Education Study Clubs
    • Educational Resources
  • Contact Us

Patient Forms

Choose the appropriate form you need from the list below:

New Patient Packet - ADULT
New Patient Packet - MINOR
Medical History Packet
Dental Insurance Information Form
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About Us

  • About Charlotte Perio
  • Our Doctors
Menu
  • About Charlotte Perio
  • Our Doctors

Our Services

  • Cosmetic Procedures
  • Dental Implants
  • Periodontal Therapy
  • Conscious Sedation
Menu
  • Cosmetic Procedures
  • Dental Implants
  • Periodontal Therapy
  • Conscious Sedation

Patient Information

  • Patient Forms
  • Patient Instructions
  • Payment Options
  • Patient Education
Menu
  • Patient Forms
  • Patient Instructions
  • Payment Options
  • Patient Education

3535 Randolph Road, Suite 103-R, Charlotte, NC 28211

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COVID-19 Message

We are now OPEN for all appointments. New patients and existing patients are invited to schedule or reschedule appointments as needed. To insure the health and safety of our patients and staff we are committed to meet or exceed the guidelines of the CDC, the American Dental Association and the Occupational Safety and Health Administration (OSHA). For a further list of our safety protocols and measures, please click here.

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