E: info@vcadentistry.com | T: (804) 639-8338

Patient Forms

In order to speed up patient intake process, we have made our new patient information form and our medical history form available online. Please fill out the patient information form below and click on the submit button. Once you click submit, you will be taken to a medial history form that we also request that you complete.

If you prefer to download these forms and fill them out by hand, click here. Once you have completed the hand-written forms, you may scan and email them to brandermilldentistry@gmail.com.