First Dental Appointment

New Dental Patient Leesburg VA| Thank you for scheduling your appointment with Leesburg Bright Dental. We value your time and invite you to complete required forms ahead of time. The forms are easily accessible on this page. Should you need assistance, contact us today. Call (571) 789-1230. We look forward to meeting you soon!

Dental Patient Forms 

Expedite your visit by printing and completing the forms below. You may need to install Adobe Acrobat Reader. Click here to download it.

Patient Registration Form

Patient Consent Form

Dental and Medical History Disclosure Form

Additional Disclosure Form

Existing Patient Form