New Patients
Welcome, New Patients!
We look forward to meeting you on your first visit to our office. During this time, we will help you get acquainted with our office and learn about your dental or orthodontic treatment. Your first visit will consist of an examination and discussion of potential treatment options.
At Pediatric Dentistry and Orthodontics of Virginia, our team has the skills and the experience to provide our patients with both pediatric dental and orthodontic care. With our bi-specialty and team approach, we cultivate a long-lasting relationship with our patients, which begins with your child’s first visit until they are ready for braces, and beyond!
Patient Forms
To allow us as much time as possible for your first visit, new patients should complete the following forms. We offer 2 convenient options:
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Download and print the pdf version of the form, fill it out and bring it to your first appointment
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Click the online version of the form, and fill it out any time before your first appointment
Pediatric Dentistry Forms
Pediatric Patient Registration (Download)
Pediatric Patient Registration (Online)
Pediatric Dentistry Consent (Download)
Pediatric Dentistry Consent (Online)
Pediatric Medical History (Download)
Pediatric Medical History (Online)