Light Touch, Light Smile, Light Dental

Patient Forms


Save valuable time on your first visit by bringing these completed forms with you. Note: the free Adobe Acrobat Reader is required to view and print the files. Please click here to download the reader.

Patient Registration

Consent for Treatment

Notice of Privacy Practices and HIPPA 

Takae is always very pleasant. She also does an excellent job cleaning my teeth.

- Vernan R.

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DC Light Dental

1331 Pennsylvania Avenue NW,
Suite 502

Washington, DC 20004

Phone: (202) 347-0100


National Light Dental

1145 19th Street NW
Suite 714

Washington, DC 20036

Phone: (202) 775-1414