New Patient Dental Forms
The following patient registration forms can be downloaded to your computer, printed, and completed in the privacy of your home. In order to provide a complete and comprehensive examination, consultation, and treatment plan, it is important to review all your medical information, including medications you take.
Please be prepared to provide this information to our office along with your current dental insurance information so that we may use our expertise to assist you in maximizing your dental benefits. Below is a link to our patient registration forms. If you have any questions about these forms, our staff will assist you with your questions on the day of your visit.
- Patient Registration and Dental History Forms (1.4MB - please be patient)
- HIPAA - Notice of Privacy Practices
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If you do not have a copy of Acrobat Reader you can get one for free by clicking on the icon 'Get Acrobat® Reader'. This will take you to Adobe’s website and enable you to download the Acrobat program to your computer.
Top Dentists - April 2013
1 of only 105 General Dentists
in the entire Metro DC area
“Selected by 2,000 randomly chosen dentists when asked who they would send a family member to”
Paul W Callahan, DDS
Top Dentists - April 2011
Top Dentists - August 2009
By a random poll of 2000 dentists
Best Dentists - October 2006
Over 1,500 area dentists were asked: “Who would you trust with your own family’s teeth? ”
Paul W. Callahan, D.D.S
Best of Loudoun Poll
Paul W. Callahan, D.D.S.
Top Dentist 2005
Karen M. Callahan, D.D.S.
Top ratings for customer service and
- Fall2004 / Winter 2005
- Fall2001 / Winter 2002