¿Habla español?
Open Saturdays Early Appointments Free Parking Dental Emergencies Welcome
13515-A Dulles Technology Dr., Herndon, VA 20171 (703) 793-3030

New Patient Information

Welcome to Cosmetic & Family Dentistry! Our Herndon, VA dental team works hard to establish lasting relationships with patients from their very first appointment. We hope our superior level of attention and service makes patients feel right at home from the moment they enter the office, and our commitment to patient comfort starts before you even arrive at our office. For your convenience, we provide new patient forms online. Rather than completing these documents in our office, we invite you to take the time at your convenience to complete these forms from the comfort of home. Contact us if you have questions while completing this documentation. We’d be happy to help.

Forms in English

 

Medical History Patient Information Privacy Policy

Infomacion en Espanol

 

Informacion del Paciente Historia Medica y Dental

Insurance

Dental insurance is an important part of making dentistry services affordable for our patients, and we’re happy to process and file claims for all PPO plans. If you have questions about coverage or would like to know more about out of pocket costs for any treatment, don’t hesitate to contact our knowledgeable team any time. We’re happy to review your coverage to ensure your complete confidence in every treatment.

We accept all major PPO dental insurance plans including:

Flexible Financing & CareCredit

If you need dental services with an out of pocket cost that exceeds your budget, don’t have insurance coverage, or are interested in cosmetic services that aren’t typically covered by dental insurance, we are happy to offer financing through CareCredit. This third party financier specializes in medical and dental financing. For qualified patients, CareCredit offers low and no interest payment plans to fit any budget. Visit the CareCredit website to apply for preapproval or contact our team to find out more.

Useful Links

American Dental Association - The umbrella organization for dentists in America.

Invisalign® - Invisalign® can give you the beautiful straight teeth you've always wanted by wearing a series of invisible, removable and comfortable aligners. Invisalign has been proven effective and is widely available: More than 70% of orthodontists in the US and Canada are certified to treat with Invisalign.

Colgate-Palmolive: Kid's World - Games to teach kids how to care for their teeth.

Colgate - Welcome to the world of Colgate-Palmolive.

PerioProtect - Perio Protect is a revolutionary new method to treat most periodontal disease using an FDA cleared medical device to deliver doctor-prescribed medications directly to the source of the infection.

Have Questions?
Get Answers.

Copyright © 2016 Cosmetic & Family Dentistry  |   Sitemap  |   Site designed and maintained by TNT Dental.
Request Forms Like Us Reviews