Harold H. Fagan, Ltd. | Periodontics & Dental Implants: A Team Approach

Periodontics & Implant Dentistry

4660 Kenmore Avenue, Suite 300, Alexandria, VA 22304

703.823.2422

First Visit

At the time of your initial visit to the office, please assist us by providing the following information:

  • Your referral slip and x-rays from your referring dentist.
  • A list of medications you are currently taking. Please note that you can fill out your patient registration and medical history form on this web page.
  • If you have dental insurance, please bring any forms or insurance cards with you to the appointment.

Please Note: All patients under 18 must be accompanied by a parent or guardian at the consultation appointment.

Please notify the office if you have a medical condition or concern prior to surgery (e.g. artificial heart valves or joints, heart murmurs requiring pre-medication, severe diabetes, or hypertension).

We will complete an in depth medical and dental health history and a thorough examination to measure for bone loss, loose teeth, bite, oral cancer screening, TMJ and other signs of periodontal disease.