Request Request an Appointment Forms Download our Forms Like Us Like Us on Facebook Reviews Read Our Google Reviews Instagram Follow us on Instagram Call Give us a Call Map View our Map Request Request an Appointment
Request an Appointment

New Patient Information

Welcome to Fairfax Dental Esthetics! If you’re new to our practice, then you’ve come to the right place! To learn a little more about our practice before you schedule your first appointment, please take a moment to read through the helpful information below. If you have any questions afterward, don’t hesitate to pick up the phone and give us a call. We can’t wait to meet you and your family, and we know we’re going to do great things for your smile!

Patient Forms

Want to save about 15-20 minutes at your appointment? If so, simply click on the link below to download our forms and fill them out before you’re scheduled to come see us. Just bring them with you to our office, and we’ll be able to get you in to see your dentist right away!

Patient Registration Medical History Form HIPAA PolicyPost-Op Instructions

Dental Insurance and Payment Options

We’re happy to accept and file claims for all dental insurance plans, and we’re even in-network with many of the most common providers.

We participate with the following dental insurance plans:

Learn More about Dental Insurance

Affordable CareCredit Financing

If you currently do NOT have insurance and would like to break up the cost of your care into smaller monthly installments, we’re happy to help you get low-to-no interest financing with CareCredit. To find a plan that works for you, simply click on the link below.

Apply For CareCredit

Tour Our Sister Location
In Tysons, VA
Learn More