(757) 463-1500

New Patient

Patient Registration

Below is an electronic copy of the forms you will need to fill out prior to your first visit. This is required for all new patients, as it helps speed up our services and reduces your office wait time.

These forms are in PDF format and will open in a new window. You must have Adobe Reader installed to view these forms.

If you do not have access to a printer, these forms are also available at our dental office. You must bring a photo I.D. with you for your first visit, as well as your insurance card if applicable.