CLICK HERE TO REQUEST AN APPOINTMENT

Dr. Jen Staas
Dr. Jen Staas
  • WELCOME
  • PATIENTS
  • ABOUT US
  • SERVICES
  • CONTACT
  • More
    • WELCOME
    • PATIENTS
    • ABOUT US
    • SERVICES
    • CONTACT
  • WELCOME
  • PATIENTS
  • ABOUT US
  • SERVICES
  • CONTACT

New Patient Forms

We are delighted to welcome you to the Smile Suite and look forward to serving your dental needs.  All patient forms are available online below and may be downloaded and completed prior to your appointment. If you are unable to complete these forms in advance, we ask that you please arrive 15 minutes prior to your scheduled appointment. Questions? Feel free to call our office (804) 264-6253.

PATIENT FORMS

Getting to Know You

Upon arrival, you will be greeted with warmth and brought into a treatment room to discuss your concerns and dental needs with Dr. Staas.  First appointments typically include a thorough cleaning, dental exam, and digital x-rays.  This first visit will give you an informed overview of your oral and dental health.

SCHEDULE YOUR VISIT

New Patient Forms

Please download and complete these forms prior to your visit.  Questions? Don't hesitate to call us at (804) 264-6253.

Dr Staas_Patient_Information Form (pdf)Download
Patient_Medical_Information (pdf)Download

Copyright © 2022  - All Rights Reserved

  • WELCOME
  • PATIENTS
  • ABOUT US
  • SERVICES
  • CONTACT

Websites by Stenger Design & Marketing | Richmond