New Patients

Patient Forms

In order to schedule a new patient appointment, please fill out our required new patients forms below and call us at (757)838-9140 to schedule your appointment. Please note we cannot schedule an appointment until you are registered in our scheduling system.

Any missing required fields will prohibit the submission of the forms and prompt you (in red) to complete the missing fields prior to a successful form submission. Please call our office at (757)838-9140 once your forms have been completed to schedule a new patient appointment.

To complete and submit your patient forms electronically, please use the links below: 




For Steps for successful form submissions:

1) Complete all the applicable fields on all forms

2) Select the "Submit" button after completing each form

3) A message will appear if your forms were successfully sent

Should you have any questions, please call us at (757)- 838- 9140.



What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Please be prepared to bring your government-issued form of ID and your dental insurance card.

If you’d like to do this paperless, you can also e-mail a picture of the front and back of your ID and insurance card(s) to chengdentalva@gmail.com.

Location

21 Towne Centre Way,
Hampton, VA 23666

Office Hours

MON - THU9:00 am - 4:00 pm

FRI - SUNClosed