We treat everyone
We treat everyone

Patient Forms

New patient? Please download and fill out the following forms when you come in for your first appointment.

New Patient Paperwork
NEW PATIENT PAPERWORK %282%29.pdf
Adobe Acrobat document [108.7 KB]
Adult New Registration
ADULT NEW PATIENT PAPERWORK.pdf
Adobe Acrobat document [146.8 KB]
A Guide to Dental Coverage for Pregnant Mothers
Over 21 Pregnancy_OnePager.pdf
Adobe Acrobat document [179.4 KB]
Dental Records Release to Another Office
Record Release to another office.pdf
Adobe Acrobat document [710.6 KB]
Release Records to CDC
Release Records to CDC.pdf
Adobe Acrobat document [707.9 KB]
Extractions Post-Operative Instructions
Extractions Post.pdf
Adobe Acrobat document [14.8 KB]
Information on Injuries to Primary Teeth
Primary Tooth Injury.pdf
Adobe Acrobat document [12.5 KB]

Contact Info

Phone: 434-293-9300

 

259 Hydraulic Ridge Rd

Charlottesville, Va 22901

 

Fax: 434-973-9310

 

Email: clittle@cdcva.org

 

Hours of Operation

Monday - Thursday

8am - 5pm

 

During inclement weather, Community Dental Center follows the City of Charlottesville school closing schedule.

 

When City Schools are on a 2 hour delay, we will open at 9:45