Are you a new patient here at Total Care Sedation Dental Center? If so, we invite you to complete the required patient forms below to prepare for your first visit. These will allow Dr. Alireza Hamidzadeh and his team of professionals to review your medical history so that we are mindful of your health when recommending treatment. If you have any questions about these forms before your appointment with our dentist in Clarksburg, Maryland, located nearby the areas of Urbana, Germantown, Frederick, Mount Airy, Hyattstown and Monrovia, Maryland, please contact us at 301-750-7000.
View Patient Form
DENTAL RELEASE FORM
Downloadable PDF Forms
New Patient Form
Medical History Form
HIPAA Form
DENTAL RELEASE FORM