Patients Forms

All the Paperwork for Your Child’s First Appointment

Available at Your Convenience

Instead of fumbling for information in your wallet or purse with a wiggly kid clung to your hand, complete your child’s take-in forms ahead of time. For your convenience, you can access your new patient paperwork in the comfort of your own home. By filling out forms at home, you can alleviate any stress that may be caused by rushing through your child’s paperwork. Keep in mind that our Ashburn dental team is still here to help you throughout the entire process. If you have any questions, please don’t hesitate to reach out. 

Prepare for the Appointment

Complete the Paperwork in Advance

For your convenience, we offer the medical history, dental record release, and COVID-19 protocol forms online. These documents help us to get to know your child better, so we can provide the highest level of care. We ask that you complete the COVID form before each appointment. We appreciate you taking the time to fill out the COVID form because you’re proactively helping to protect your family, other patients, and our staff in Ashburn.

Give Your Child Their Healthiest Smile

Contact Our Office for an Appointment Today

Call (703) 687-1581

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