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New Patient Forms

Modern Family Dentistry in Chesapeake, Virginia

Fill out new patient forms before your first visit

For your convenience, we’ve provided links to the forms needed prior to your appointment. Please print and fill out these forms so we can expedite your first visit:

The purpose of these new patient forms is to gather some information from you so that we can start building out your new patient profile before your appointment. Knowing this information will help us provide the best experience and care possible.

To view or print these forms, you will need Adobe Acrobat Reader installed. Download it here.

Schedule an appointment today!

“My family of six has gone to Midgette Family Dentistry for nearly 20 years. They’re absolutely fantastic! We’ve never had a less than pleasurable experience. Highly recommended!”

Michael Cromartie

“As usual, everyone was pleasant and professional from the time I entered the front door until I left. Fabulous office. My wife switched to this practice and she has the same experience. Great dentistry!”

Michael Bono

“Best dental office around, love my hygienist, and all the office staff and Dr’s here! They take good care of my kids too. Wouldn’t want to go anywhere else!”

Leslie Allen

“A little over two years ago I had to switch from Dr. Midgette’s Dentistry due to an insurance change. Recently I was able to obtain coverage that listed Dr. Midgette as an approved provider. It feels sooo good to be back home!”

Wenda Massey

“Friendly staff and great service. They do a great job of explaining what needs to be done and mapping out a plan of attack that fits you.”

Leonard Thurman
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