Dental Patient Registration Forms in Fairfax VA

Fairfax, VA Cosmetic and Implant Dentist, Dr. Hang Le, DDS requires that all patients use our advanced Electronic Registration form to complete their forms prior to their coming to our office. This minimizes on wait times and allows us to start your treatment immediately.


Click the button below to fill out the New patient registration forms.

(Existing patients can also update their information by clicking the button below)

This opens a secure online form for patient registration. When your are finished please close the registration form tab.

Get you better smile Now

You can contact the office of Fairfax, VA Family and Cosmetic Dentist, Dr. Hang Le to either schedule online, by phone or text to make your dental appointment now.

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