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calendar icon
  • New Patients
    • Why Choose Us
    • Patient Forms
    • Your First Visit
    • Insurance & Finances
    • Free Consult
    • Virtual Consultation
  • Patient Forms
  • About Us
    • Meet Dr. Robert Selden
    • Meet the Team
    • Reviews & Testimonials
    • Careers
    • Blog
  • Our Treatments
    • Metal Braces
    • Clear Braces
    • Champagne Braces
    • Invisalign
    • Ortho for All Ages
      • Orthodontics for Children
      • Orthodontics for Teens
      • Orthodontics for Adults
    • Ortho Info
      • Orthodontic FAQs
      • Ortho Care
      • Ortho Emergencies
      • Life With Braces
  • Before & Afters
  • Contact Us
    • Huntersville Location
    • Charlotte Location
    • Free Consult
    • Virtual Consultation
    • Doctors: Refer a Patient
    • Refer a Friend
    • Review Us
    • Pay Now
  • Free Consult
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  • Huntersville Location

    10125 Hickorywood Hill Avenue,
    Huntersville, NC 28078

  • Charlotte Location

    2325 West Arbors Drive Suite 106,
    Charlotte, NC 28262

Patient Forms

Save Time at Your First Visit

Fill out these forms ahead of time to keep your first visit running smoothly.

Health History Questionnaire
COVID Consent and Health Questionnaire
HIPAA Agreement
Patient Notice of Privacy Practices
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Huntersville
Location

10125 Hickorywood Hill Avenue,
Huntersville, NC 28078

Charlotte
Location

2325 West Arbors Drive Suite 106,
Charlotte, NC 28262

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