Suzanne E. Bird, DDS, MS
16614 Riverstone Way | Charlotte, NC 28277
(704) 544-5001

Notice of Privacy Practices

You may access the following form to assist us with your care. Please print and fill out the following form, then bring them to your appointment.


This form requires Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.