Patient Forms

Printable Forms and Patient Portal Registration

For your convenience, you may download, print and fill out the following forms and bring them to your next appointment:

Health History Form

Dental History Form

New Patient Form

Falls Church Dentist, American Family Dental Care is committed to dental excellence and offers patients a comprehensive scope of family, cosmetic and implant dentistry including, dental cleanings & exams, teeth whitening, tooth colored fillings, crowns, bridges, dentures, dental implants, root canals, Invisalign, sedation, veneers, emergency dental care, and more! Please come and visit our Falls Church, VA dentist at American Family Dental Care.  

Website Design and Internet Marketing byOptima