New Patient Forms

Please take a minute to fill out the following secure patient forms before your first visit:

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Medical & Dental History - Children

Child Form
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Medical & Dental History - Adults

Adult form

Get in Touch!

[email protected]

(703) 573-0200

2843 Hartland Rd., Suite 100, Falls Church, VA 22043

New patient? Special offer here!
Chat with us
Welcome to Merrifield Orthodontics!
We are open and offering complimentary new patient consultations.
How can we help?
I'm considering treatment
I’m a patient and need assistance
Excellent, I can help!
Good news, We're are now offering both complimentary Virtual and In-Office Consultations
Let us know what you would like to do next:
I'd like to set up a virtual consultation
I'd like to set up an in-person consultation
I have a quick question - click to call Merrifield Orthodontics