For your convenience, you can download the following forms to complete prior to your appointment for your comprehensive dental care:
- Patient Registration
- Medical History
- Patient Questionnaire
- Financial Policy
- Agreement to Receive Electronic Communications
- Notice of Privacy Practices
- Acknowledgement of Receipt of Notice of Privacy Practices
Please take your time to complete these forms and bring them to your first appointment at our dentist office in Arlington, VA.
Our ultimate goal is to care for your Mouth, Mind and Body. We are located in Arlington, VA close to Washington D.C., Rosslyn, Lyon Park, Fort Myer, Cherrydale and Virginia Square.
Access the online patient portal below