New Patient Forms

new patient forms

For your convenience, our New Patient Forms are available for download here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded by clicking on the icon below.

Please print and complete these forms at home before your first appointment. If you need assistance with downloading or printing these forms, please contact our office.

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Don't Forget to Floss!

Clean between teeth daily with floss or an interdental cleaner. Decay-causing bacteria can hid between teeth where toothbrush bristles can't reach. Flossing helps remove plaque and food particles from between teeth and under the gum line.

Visit Our Office Regularly!

Take good care of your smile. Remember to visit the dentist regularly for professional cleanings and oral exams.

Welcome New Patients!

Your New Patient Exam in Complimentary! This includes all necessary x-rays and a comprehensive exam.

Call For An Appointment Now!
(703) 670-7071

General Info: (703) 670-7071

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Lake Ridge Dental Care

Appointments:
(703) 670-7071

Make an Appointment Now!

Elizabeth A. Tarpley, DDS

Steven C. Fisher, DDS MS

Sheila A. Agullana, DDS

Lake Ridge Dental Care

13625 Office Place, Suite 102

Woodbridge, VA 22192

General Info: (703) 670-7071

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