New Patients

If you are a new patient to our office, please fill out the three documents below (Patient Information, HIPPA [Privacy Notice], and Office Policies and Financial Agreement) before you arrive at our office. Printing them, filling them out, and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival. Thank you, and please call our office at (703) 255-3424 if you have any questions.

Patient Information

HIPPA (Privacy Notice)

Office Policies and Financial Agreement

This website uses files in Adobe Acrobat Portable Document Format (PDF) that require Adobe® Acrobat® Reader for viewing and printing. It is available to download free. When using the PDFs above, save the files to your computer. Then open them using Adobe Acrobat, which will allow you to enter information and save it.

Many of our patients have found it helpful to read “How can I prepare for my child’s first dental visit?”