Precision Periodontics

Patient Forms Download

Precision Periodontics staff at work

Save Time At Your Visit

Complete your paperwork before your first appointment.

Download and complete the following forms before you come in. Once complete, you can email them to info@precisioninperio.com, fax to 703-842-8671, or hand them to our front desk at your first visit.

New Patient Registration

Your basic info, health history, insurance details, and emergency contact.

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Privacy Practices

How we handle and protect your personal health information, per federal privacy standards.

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HIPAA Compliance

Your rights and our responsibilities under HIPAA to keep your medical information private.

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Request An Appointment

Let us help you achieve a healthier, more confident smile.

Contact us with any questions or to schedule a consultation at our Washington DC, Alexandria, or Reston office. We look forward to welcoming you.