New Patient Forms
Complete your paperwork before your first visit to save time at check-in.
Please download and complete the following forms before your first appointment. You may print them at home and bring them to our office, or arrive 15 minutes early and our front desk team will provide paper copies. If you have any questions while filling out your forms, do not hesitate to call our Charlottesville office.
New Patient Registration Form
Basic contact information, medical history, and dental history.
Medical History Questionnaire
Detailed medical history including medications, allergies, and current conditions.
HIPAA Privacy Notice
Our notice of privacy practices regarding your protected health information.
Financial Policy & Consent
Our financial policies, payment options, and treatment consent form.
Note: These forms are currently being updated. Please check back soon for downloadable PDF versions, or request copies by calling our office.
Questions About Your First Visit?
Our team is happy to walk you through the new patient process.
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