Patient Forms

You will need to complete a few forms for your first visit at Davis Dental Group. Save time by downloading, completing, and signing these forms ahead of time and bring them to your first appointment. If you prefer, FAX them to us in advance to 804-560-7250. Please let us know if you have any questions. We look forward to seeing you soon!

CLICK HERE to download our Patient Registration Packet

We are required by applicable federal and state law to maintain the privacy of your protected health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your protected health information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice takes effect May 1, 2013, and will remain in effect until we replace it.

We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our Notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change this Notice and provide the new Notice at our practice location, and we will distribute it upon request.

You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of this Notice, please contact us using the information listed at the end of the notice.

Notice of Privacy Practices

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