New Patients:
Existing Patients :

Online Registration; Dental & Medical Forms

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!

Patients are required to fill out these TWO online forms prior their visit and arrival to the office:
Patients should review the following RFD policies:
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: info@richmondfamilydentistry.com

Testimonials

I love this office!!! The staff and Dr. are top notch. I always feel well cared for whether I am there for repair or maintenance. They make me feel like I'm being taken care of by a family member.
Read More
Close