Patient Forms

Thank you for choosing Dr Jennifer Wells, DDS and her team for your dental needs!

To save time at your new patient appointment, please feel free to complete the forms below and read over our office policies.  If you have any questions please reach out to our office.

New Patient Information

Transfer Dental Record

Notice of Privacy Practices

If dental insurance is involved, please complete the following form and send a copy of the front and back of your insurance card.

Primary Dental Insurance

Email or Fax the above forms to or 704-932-2053.

We look forward to having you join the First Impressions Family Dentistry Family!