Complete Your New Patient Paperwork Before Your First Appointment!


Patient Form Downloads

New Patients,

We kindly request that you please arrive for your appointment ten minutes early to allow for the completion of the new patient paperwork. Our staff will be happy to assist you in completing the needed paperwork before you are seated. If you like to fill your paperwork ahead of time you can print out the following forms, fill them out and bring with you at the time of your appointment.

Patient Information Form

Dental Questionnaire

Acknowledgement of Privacy Practices

Your convenience and care is our top priority! If you have questions about the new patient paperwork, please call our office at (571) 388-4554. We validate parking for the garage located at 4250 N. Fairfax Drive, across the street from our practice.

  • Ballston Dental Arts
  • Interior Waiting Area
  • Office Room
  • Interior Office
  • Office Tour Interior
  • Preparation Room
  • Office Preparation Room
  • Office Preparation Room 2
  • Office Operatory
  • Office Operatory 2