5812 Mapledale Plaza
Woodbridge, VA 22193
New Patients

Patient Forms, Map, and Directions to Woodbridge Office

Your first visit to Mapledale Family Dentistry, PC involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. 

Languages we speak: 

  • English
  • Spanish 
  • Hindi 
  • Chinese 
  • Vietnamese 
  • Arabic

What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Please arrive 15 minutes prior to your appointment time to complete health and insurance information. Please bring your existing dental records/x-rays from your previous dentist, on the day of your appointment. In order to make your visit to our office comfortable, please inform us of any kind of special needs or requirements.

When you arrive for your first visit, please be prepared to complete all insurance and health information forms that will allow us to begin your dental treatment. We will ask you to fill out several forms that will get you acquainted with our office.

Your initial exam will last approximately one hour. Your dentist will thoroughly examine your teeth and gums, specifically looking for any potential problems. Depending on the patient, X-rays may be taken. If there are any signs of decay or other problems, your dentist will recommend treatment options and make notes of any conditions that may need future observation. Oral hygiene instructions will also be provided along with suggestions to help you care for your teeth. In most cases, we will also clean your teeth on this visit.

Patient Forms

Below are the forms our office needs to keep on file for every patient. Feel free to fill them out, print and bring with you to your appointment. In addition, you may also fill out the Patient Registration Form and submit it electronically through a secure server.

Patient Registration Form  Online Submission | Download & Print
Financial Policy Form Download & Print
Privacy Practices Download & Review
Acceptance of Privacy Practices Download & Print

In order to view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.