Patient Forms

Please take a minute to fill out the printable COVID-19 risk assessment patient disclosure and consent form before your appointment.

All patients must fill out the patient information forms before their first appointment at our dental offices in Fairfax, Woodbridge and Alexandria. You can download the forms and fill them out at home before you come to the office. 

Mount Vernon 
Printable Patient Information Forms

Lake Ridge 
Printable Patient Information Forms

Old Town  
Printable Patient Information Forms

King Street Station 
Printable Patient Information Forms

Fairfax
Printable Patient Information Forms