Patient Forms
For your convenience, we have placed our profile and registration form for you to fill out before you come in for your appointment.
- Right click on the link below and save the PDF to your computer first before filling out the forms.
- Once you complete the forms, print, sign and bring in to your appointment.
- You can complete the form on your computer by clicking on each area and check the appropriate boxes.

Every patient should have a great dental experience!
Hours
Tues – 8:00AM – 5:00PM
Wed – 8:00AM – 5:00PM
Thurs – 8:00AM – 5:00PM
Fri – Closed
770-965-5548
drcharleselee@gmail.com
7380 Spout Springs Road, Suite 120 Flowery Branch, GA 30542
Site Design by: Abysmal Blue, Inc.