New Patients:
Existing Patients :

Online Registration

For your convenience, Richmond Family Dentistry (RFD) has supplied forms that can be filled online. Click on the links below, complete the required online forms and click the submit button at the end of the forms. They’ll be ready for you when you make your first visit! The team looks forward to greeting you!

Required online forms to be filled out by the Patients:
Required forms to be reviewed by the Patients:
Patients are requested to confirm that they read the financial and privacy policy forms when they fill out online registration and medical forms.

If you have any questions regarding these forms do not hesitate to call us at (804) 381-6238 or reach us by email:


My wife, daughter and I have had our teeth cleaned and dental work done at Richmond Family Dentistry since the early 1990s. They have always taken excellent care of our teeth and are AWESOME and OUTSTANDING IN EVERY WAY!
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