To save you time when you meet with Dr. Amirreza Rafaat, our dentist and team have listed our patient forms online. You can comfortably complete your forms from the comfort of your own home. When you come to Herndon Smile Design, you can feel at ease, knowing that you don’t have to rush to fill out your forms.

If you have questions about our comprehensive dentistry in Herndon, Virginia, feel free to call our office at 703-464-0000.

Online Forms

Online Patient Forms

Printable Forms

Download Forms

Contact Us



Office Hours
Monday-Friday 8am-5pm

Translate »