For your convenience, we have provided our new patient forms on this page, along with several other forms. Please complete them before your child’s appointment with Dr. M. Danielle Funny in Charlotte, North Carolina. If you have any questions, please feel free to call University Pediatric Dentistry at 704-688-1664. We are always happy to help you, especially as you prepare for your child’s first visit with our pediatric dentist.
Existing Patient Forms
Frenectomy Patient Forms
New Patient Forms
HIPAA Authorization & Release Form
Release of Records Form