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.



We happily accept most dental insurance plans at our office. If you have any questions about your insurance, or if you need to verify that your insurance is accepted here, please give us a call. Our trained staff can help you find the answers you need.


carecredit-dentist-washington-dcTo 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 give us a call.