Patient forms and information sheets

Use our new Secure Patient Questionnaire

We are now asking our patients’ guardians to complete a series of documents that will allow our clinicians and office administrative staff to prepare for a dental visit. The information you will submit is secure and encrypted for your protection and is sent directly to our office. Thank you for helping us prepare for your quick and easy check-in.

Questions? Please call our office 864-585-8558 or email our office.


The Carolina Pediatric Dentistry team has created a number of forms and information sheets for our patients and future patients, and you will find them on different pages on our Website. Click on the following links to access these files. You will need the ability to read PDF files.