If you would like to skip the paperwork during your visit to our dental office in Charlotte, North Carolina, print out and complete our patient forms at home! When you fill out these forms prior to your appointment with our dentist, Dr. Drew Hines, you are ensuring that we spend more time focusing on what’s truly important — your oral health and smile. Feel free to give our office a call at any time should you have questions about our forms. We look forward to taking care of your beautiful smile!

+ New Patient Registration

+ Consent for Treatment

+ Privacy Practices

+ Dental Records & Radiograph Release

+ Financial Agreement

Financial Options

As a courtesy to you, the office of Hines Dentistry is happy to file all dental insurance claims for you. Our practice is in-network with Delta Dental Premier, and Blue Cross® Blue Shield®-NC, but we will work with all insurance companies to help you receive your maximum benefits. As forms of payment, our dentist accepts:

  • Cash
  • Check
  • American Express
  • Visa®
  • MasterCard®
  • CareCredit®
  • United Concordia®

Similar to a Visa card, CareCredit allows you to make payments for up to 12 months without any interest charges. We’ll be happy to help you apply for CareCredit during your visit to our dental office in Charlotte, North Carolina, or you can apply online at CareCredit’s website.

To learn more about the financial options at our office, please call us today. We’ll be happy to work with you to create a financial plan that meets your needs and allows you to achieve the beautiful, healthy smile that you have always wanted through general and cosmetic dentistry.

Care Credit