Patient Information
Patient Form
We want your first visit with Dr. Bezik to be an efficient, encouraging time. To help streamline your visit, we have provided our patient forms online. We invite you to fill them out before coming to the dentist for your initial appointment. To use, simply click on the link below to download and print our forms from your computer. You can complete them in the convenience of your own home, then bring them with you to your appointment. If you need any help, please contact our dentist in Fairfax, VA, today. We are excited to meet you and look forward to having you as part of our dental family.
Payment Options
Insurance
We will happily help you utilize your dental insurance plan. If you have any questions about your insurance, please give us a call. Our trained staff can help you find the answers you need.
Other Payment Options
To make things easiest for our patients, we give you the following options for your payment:
- Cash
- Credit Cards
- Financing
- Care Credit
If you have any questions about our financing options, please get in touch.
Personalized
Treatment
Prevention &
Maintenance Focused
Healthier,
Beautiful Smiles
Personalized
Treatment
Prevention &
Maintenance Focused
Healthier,
Beautiful Smiles
Sign Up and Save!
Stay in touch with Metro Dental Health and be alerted first with existing patients specials, news and dental health tips.
By submitting this form, you are consenting to receive marketing emails from: . You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact
What we do
Our Dental Care Services
We Strive To Make Your Dental Visits A Pleasure!
Use the form to request a booking. You can also call or email us to schedule an appointment.