Keeping it simple
We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.
Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our Midlothian, VA dental office and we will gladly send or fax them to you.
New Patient Forms - We need all forms filled out!
- Patient Information, HIPAA form, Medical History, Dental History, Signed Release

Download Adobe Acrobat Reader Now Schedule Your Visit Today!
Dr. Erika Mason and our team will exceed your expectation of excellence! Call today to schedule a personal consultation, and we’ll take time to listen to your concerns, evaluate your smile and oral health, then work with you to develop a custom treatment plan that addresses all of your unique needs. Located in Midlothian, VA, our practice serves patients from all of the surrounding communities.
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