Welcome

Charleston Dental Associates Looks Forward to Meeting You!

Charleston Dental Associates is eager to get acquainted with our patients throughout Charleston SC. This way, we are able to provide superior cosmetic, preventive and restorative dental care tailored to your needs.

At Charleston Dental Associates, our professional, caring staff members have the firm conviction that the patients we treat are among the world’s finest people. We are delighted that you have chosen us to preserve, restore and promote your dental health.

Please Complete these Important Patient Forms

If you prefer to fill out and submit your form online, please use our online New Patient Form here! Otherwise, please see below our list of forms that you can print at home and fill out before your next appointment.

Patient Information Form

Patient Information Form

This form includes contact information, emergency contact, insurance information and consent authorization.

Dental History Form

Dental History Form

Includes questions about not only your dental health, but your past experiences with dentists and dental care. We strive to provide the very best care!

Medical History Form

Medical History Form

Do you have a pre-existing heart condition? Blood pressure issues? Any medication allergies? It’s all in here.

Privacy Policy / HIPAA

Privacy Policy / HIPAA

Consent form to protect your vital patient privacy rights

Our goal is to partner with you, our patient, to help achieve and maintain a lifetime of excellent oral health. So get in touch with Charleston Dental Associates, complete these forms, and begin dental health journey today!

Charleston Dental Associates Staff
Charleston Dental Associates Staff

New Patient (Online Form)

Save paper and fill out your new patient forms online by submitting your information here with our online New Patient Form.