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New Patient Forms

We appreciate the trust you have placed in us and will make every effort to make your visit to our office pleasant.

We have made our forms availabe for download for your convenience. If you would like to save time on your first visit, you may print out the forms and complete ahead of time.

Office Hours and Appointments:  Regular office hours are 8:00 am - 5:00 pm Monday thru Friday.  Patients are seen by appointment only. Please call the office to reserve a time for treatment. We make every effort to be on time for our patients and ask that you extend the same courtesy to us. If possible, please give 24 hours notice if you cannot keep an appointment.

Click to Download

Patient Information and Health History
Health History Form
Lynchburg Dental Center Office Policies
Lynchburg Dental Center Privacy Policy
Acknowledgment of Privacy Practices