Dental Patient Forms

Please open each of these important Patient Forms, complete each one, except the Patient’s Notice of Privacy, and bring them with you to your appointment with Dr. Linger. Completing these four (4) forms will help your appointment time move smoothly. We appreciate your help and look forward to seeing you at your appointment!

New Patient Form

104.4 KiB

Please open and complete our New Patient Form and bring it with you to your appointment with Dr. Linger. Thank you for helping your appointment time move smoothly when you arrive!

Our Office Financial Policy

79.6 KiB

Please open and complete our New Patient Form and bring it with you to your appointment with Dr. Linger. Thank you for helping your appointment time move smoothly when you arrive!

Patient Acknowledgement of Receipt

23.4 KiB

Please complete the Patient Acknowledgement of Receipt form for our Patient Privacy Policy.

Patient Dental History Form

1.1 MiB

Please download and complete our Patient Dental History Form and bring it with you to your appointment!

Patient Medical History Form

215.1 KiB

You will need to fill out this form before becoming a patient at our office. Please fill this out and bring it to our office the day of your appointment to help us serve you more quickly!

Patient Notice of Privacy Practices

248.2 KiB

Please review this paper notifying our patients about our office's privacy practices. You do not need to bring this form with you for your appointment.

About Us

Welcome to William Linger, DDS, MAGD! We want to be your full-service dental office. Dr. Linger has been a trusted, reliable, and popular top rated Charlotte dentist for the past 20 years.

The support team that we have built inside the office includes the best dental assistants, hygienists, patient comfort specialists, and cheerful front office professionals. Financial Assistance Available

Office

Park Place On Wendover,
435 N. Wendover Road
Charlotte, NC 28211

dental patient
forms

New Patient Form

104.4 KiB

Our Office Financial Policy

79.6 KiB

Patient Acknowledgement of Receipt

23.4 KiB

Patient Dental History Form

1.1 MiB

Patient Medical History Form

215.1 KiB

Patient Notice of Privacy Practices

248.2 KiB

About Us

Office

Call us: 704-364-2510

Fresh from our blog:

New Patient Form

104.4 KiB

Our Office Financial Policy

79.6 KiB

Patient Acknowledgement of Receipt

23.4 KiB

Patient Dental History Form

1.1 MiB

Patient Medical History Form

215.1 KiB

Patient Notice of Privacy Practices

248.2 KiB

About Us

Office

Call us: 704-364-2510

Fresh from our blog:

dental patient
forms