New Patient

Thank you for choosing Leesburg Family & Cosmetic Dentistry for your dental needs.

For your first visit at Leesburg Family & Cosmetic Dentistry all new dental patients are asked to complete our New Patient Forms prior to their first appointment. Dr. Whitman and her dental team look forward to seeing you and providing you with excellent dental care.

Please download the forms and bring them with you to the office for your first appointment.

Patient Information

Patient Medical History

Financial Agreement


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