We appreciate you choosing Oakton Family Dentistry for your dental care. Your first visit to our dental office in Fairfax, Virginia, is a big step, and we want you to have a positive experience every time you visit our dentists. Your first visit will consist of a cleaning and exam and a consultation with our dentists to discuss any issues that might have been detected or specific concerns or goals you have for your smile. Together, we will develop a treatment plan designed specifically for you.

Since you have a busy schedule, we want to make sure that your first visit and every visit after that is as convenient for you and your family as possible. We have provided our forms on this page that you can complete at home and bring with you to our office. You can also choose the paperless option and complete and submit your forms online using Google Chrome. By completing your paperwork prior to your appointment, you can see Dr. Elhady, Dr. Scimeca and associates sooner and begin creating your dream smile. If you have questions about your paperwork, contact our team at 703-281-6201.

Help us go paperless! Click the link below to access our secure digital patient forms. Please complete and submit all 4 forms before your appointment.
 

DIGITAL PATIENT FORMS

 

Want to print the forms to bring to your appointment?

 
Below you will find links to four patient forms you may print and manually fill out. You can also scan these forms and email them to smiles@oaktonfamilydentistry.com or fax to 703-281-6208.

 

  1. PATIENT REGISTRATION FORM
  2. MEDICAL HISTORY
  3. SIGNATURE FORM FOR FINANCIAL POLICY & NOTICE OF PRIVACY PRACTICES
  4. FINANCIAL POLICY & NOTICE OF PRIVACY PRACTICES—(Read Only Form.)
  5. NOTICE OF PRIVACY PRACTICES—(Read Only Form.)
  6. BROKEN APPOINTMENT POLICY