New Patient Forms

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.

 

Registration Form

Please download, print and complete this form before your first dental appointment.
Click here to download (43 KB)
 

Medical History Form

Please download, print and complete this form before your first dental appointment.
Click here to download (70 KB)
 

Insurance Form

Please download, print and complete this form before your first dental appointment.
Click here to download (46 KB)
 

 
If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:

Request Appointment

  • Monday
    Tuesday
    Wednesday
    Thursday

  • Morning
    Afternoon
    Early Evening

Our Office

David G. Carithers, DDS PC

238 Main Street
Loganville, GA 30052
Map & Directions
 
Phone: 770-466-2231
 

Office Hours*:
Monday8:30am-5:00pm
Tuesday 8:30am-5:30pm
Wednesday8:30am-5:30pm
Thursday8:30am-5:00pm


*By Appointment Only