MON-THU: 8-5 | FRI: CLOSED | CLOSED 12-1 FOR LUNCH

Patient Forms

Dental Patient Forms

To make your visit to Dr. White’s office as efficient as possible, we’ve placed some of our most used forms online. These PDF’s can be printed and read or completed at home. You must have Adobe Acrobat Reader to open these forms. Click here to download the free version of Adobe Acrobat Reader.

 

New Patient Information

HIPAA Acknowledgement

Extraction Care

Meet your friendly Lafayette Dentist & Staff

Practicing General Dentistry & Family Dentistry since 1996

"Be true to your teeth or they’ll be false to you!"

Charles White II, D.D.S.

Family Dentist

"I just like to smile; smiling's my favorite - Buddy the Elf"

Taylor

Office Manager, EDDA

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VIVIAN

RECEPTIONIST

About Dr. Charles White II

Dr. Charles White has been practicing dentistry in his hometown of Lafayette since 2005 after moving from New Orleans where he practiced for ten years. Our dental team is comprised of a group of caring dental professionals who take pride in delivering the ultimate experience for every patient.

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