Charlotte, NC, Family Dental Services  
(704) 394-3109

New Patient Forms

New Patient? Complete Your Forms Online Here!

When you visit Leary Family Dentistry, we strive to be respectful of your time and provide you an enjoyable, relaxing experience.
For your convenience, we have added our patient forms to our website, so you can complete them online prior to your appointment.  We are excited to  offer this “green” feature  for our patients and office. Also, we hope to reduce your wait time in our office.
Simply click the link on this page, enter your information and voila, your information is automatically uploaded into our database. We do appreciate your commitment to being prepared and ready for your appointment.
If you forget or do not  have a chance to complete them, not to worry! You are more than welcome to complete the forms in the office if you prefer.