Pediatric Dentistry patient registration
Make an appointment
All appointments are handled through our front office at the Pediatric Dentistry Department. Representatives are available
to assist you in matching your clinical needs with the appropriate provider. Please call (804) 828-9095 to schedule an appointment.
Download and complete the New Patient Information Form in its entirety, and bring with you to your appointment.
We ask that you call our office at least 24 hours in advance of your scheduled appointment time if you need to cancel or
reschedule an appointment. It is our policy to discontinue your care in this office if you miss three appointments unless
we receive notification of cancellation at least 24 hours in advance of your scheduled appointment time.
Changes in information
Please advise us of any changes that may affect your billing status. Examples include: change in address, telephone number,
employer, insurance coverage, etc. This will enable us to provide you with the best possible service. We thank you for your
cooperation, and believe our financial policies are designed to be an extension of our commitment to provide the best quality
care possible for you.