• REQUEST YOUR APPOINTMENT
  • Call today! – 803-324-2921
  • HEALTH HISTORY FORM
  • IN-OFFICE DENTAL MEMBERSHIP PLANS
  • PROJECT LITTLE SMILES
Culp Dental
  • Home
  • About
    • Culp Dental Legacy
    • Meet Dr. Charlie Culp
    • Meet Dr. Spencer Fair
    • Your Health & Safety
    • Top 10 Report
    • Frequently Asked Questions
  • Treatment Options
    • Restorative Dentistry
      • Tooth-Colored Fillings
      • Crowns
      • Bridges
      • Dentures & Partials
      • Root Canals
      • Dental Implant Restorations
      • Dental Implant Pricing
    • Cosmetic Dentistry
      • Veneers
      • Teeth Whitening
      • Crowns
      • Bridges
      • Dentures
      • Dental Implants
      • Full Mouth Reconstruction
      • Bite Adjustments
      • BotoxⓇ
    • General Dentistry
      • Dental Cleanings
      • Pediatric Dentistry
      • Anxiety-Free Dentistry
      • Oral Cancer Screenings
      • Sealants
      • Gum (Periodontal) Therapy
      • TMJ
      • Tooth Extractions
      • Emergency Appointments
    • Sleep Dentistry
      • Oral Sleep Appliance
  • Why Choose Us?
    • Culp Family Legacy
    • Honest & Responsible Treatment
    • Continued Education
    • Anxiety-Free Treatment
    • Focusing In Restorative Dentistry
    • Culp Dental New Patient Assessment
    • Satisfaction Guarantee
    • Private Individual Treatment Rooms
    • Multiple 5-Star Reviews
    • Emergency Pain Relief
    • Your Time Is Respected
    • Flexible Payment Options
    • Project Little Smiles
    • Community Involvement
  • Reviews
  • Contact Us
    • Refer A Friend
  • Request Your Appointment
Select Page

Health History Form

Submit Health History Form Online
Printable Health History Form
Submit Health History Form Online - Spanish
Printable Health History Form - Spanish

What To Expect On Your First Visit

Your Happiest, Healthiest Smile Starts Here

outside culp dental
N

Discuss Your Goals & Concerns

N

Thorough Exam & Oral Cancer Screening

N

Digital X-Rays

N

Custom Treatment Plan

Schedule Your Culp Dental New Patient Assessment

5-Star-Rated Dentist in Rock Hill, SC - For General Dentistry, Cosmetic Dentistry, Restorative Dentistry, Emergency Care & More Backed By A Satisfaction Guarantee!

Request Your Appointment Today!

Schedule Your Culp Dental New Patient Assessment

5-Star-Rated Dentist in Rock Hill, SC - For General Dentistry, Cosmetic Dentistry, Restorative Dentistry, Emergency Care & More Backed By A Satisfaction Guarantee!

Request Your Appointment Today!

Our Office

Call Us: 803-324-2921

Address:
1334 Ebenezer Rd.
Rock Hill, SC 29732
GET DIRECTIONS

Office Hours

Monday: 8:00 AM - 5:00 PM
Tuesday: 8:00 AM - 5:00 PM
Wednesday: 8:00 AM - 5:00 PM
Thursday: 8:00 AM - 5:00 PM
Friday: 8:00 AM - 1:00 PM

Site Map

  • About
  • Treatment Options
  • Why Choose Us?
  • Reviews
  • Blog
  • Talk To Us
  • Site Map
  • Web Accessiblity
  • Privacy Policy

Affiliated Associations

  • American Dental Association
  • Tri-County Dental Society
  • South Carolina Dental Association

We Service All The Following Towns & Their Surrounding Areas...

Rock Hill, SC | Fort Mill, SC | York, SC | Chester, SC | Clover, SC | Lake Wylie, SC | Lancaster, SC | Service area

© 2022 Culp Dental | Designed by Market Hardware

  • Follow
  • Follow

Archives

  • May 2024
  • March 2022
  • December 2020
  • November 2020

Categories

  • General
  • Uncategorized
  • Facebook
  • X
  • Instagram
  • RSS

Designed by Elegant Themes | Powered by WordPress