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Patient Forms

If you are interested in scheduling an appointment, please contact the office at (301) 515-8500. 

We will email a link for an online Questionnaire which we prefer you use. The forms below are to be used if you have difficulties filling in the online forms.

We can’t wait to start your smile journey!

HIPaA Authorization

Hipaa consent

Adult Medical History

Under 18 Medical History

TMJ Patient History