Downloadable patient forms that you can print and fill out before your next visit to Welborne, White and Schmidt Dentistry in Cornelius.
We like to make things easy for our patients, which is why we have provided downloadable PDFs of our most common patient forms. To save you time on your next visit to our Cornelius dental office, feel free to print and fill out the appropriate forms. We look forward to seeing you soon.
- Medical History Form [PDF]
- Dental History Form [PDF]
- Consent for Treatment Form [PDF]
- HIPAA authorization Form [PDF]
- Patient Information Form [PDF]
- Financial Agreement Form [PDF]
- X-Ray Request Form [PDF]