Patient Forms

To save yourself some time, click the new patient forms link below to print and complete your paperwork prior to your visit! Please don't forget to bring the following:

  • Dental insurance card
  • Medical and dental history
  • List of any medications currently being taken
  • Parent or guardian if under 18
New Patient Forms


Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.


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Office Location

  • Ruther Glen
  • 11073 Colonel Armistead Drive Suite 107
  • Ruther Glen, VA
  • 22546
  • Map & Directions
  • Call: (804) 589-2001