New Patient Information
The first part of your appointment will consist of a consultation explaining your diagnosis and treatment options. Generally, treatment can be initiated on the same day as the consultation. However, a complex medical history or treatment plan may require an evaluation and a second appointment to provide treatment on another day.
First visit
Thank you for your interest in Charlotte Root Canal Center, a dental practice dedicated exclusively to endodontic care. Please assist us by providing the following information at the time of your consultation:
Your referral slip
A list of medications (and dosages) you are presently taking
If you have dental insurance, bring the necessary subscriber information, including your insurance card (if applicable). This will save time and allow us to help you process any claims quickly.
Medications
Please alert the office if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.)
Patients under 18
All patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit.
Medical Conditions
Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.). If you would like additional information, please don’t hesitate to contact us at (704) 375-4252, and we will be happy to answer any questions that you may have.
X-Rays
It is generally not necessary for you to bring any previous x-rays prior to your appointment, as part of your consultation will include digital x-rays of the area to be evaluated. The digital x-ray system reduces typical radiation exposure from x-rays by approximately 85%.
Patient Forms
We like to make things convenient for our patients so we have our forms available for download so you can fill them out at your convenience:
New Patient Form — If you are a new patient, please download, fill out, and print this form to bring to your first visit. By doing so, you will minimize your waiting time and make your visit quick and easy.
Doctor Referral Form — if you are a doctor, looking to refer a patient, please download this form.
Financing
For your convenience, we accept a number of payment options and financial plans:
Cash & Check
Visa
MasterCard
American Express
Accepted Insurance Providers
*We do not accept Medicaid and Medicare*
We also accept:
Aetna - DMO, PPO
Blue Cross Blue Shield of North Carolina
Cigna (PPO Only)
Concordia ActiveDuty
Concordia NationalFee
Connection Dental
DenteMax
Humana
MetLife
Mavrest Preferred
Mavrest Plus
UHC