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  • About Us
    • Estelito M. Santos, Jr, D.D.S.
    • Meet Our Team
    • Read Our Reviews
  • Dental Services
    • General & Preventive Dentistry
    • Cosmetic Dentistry
    • Zoom! Teeth Whitening
    • Dental Implants
    • Restorative Dentistry
    • TMJ Treatment
    • Periodontal Treatment
    • Root Canal Treatment
    • Invisalign
  • Patient Info
    • Financial & Insurance Info
    • Patient Forms
    • Frequently Asked Questions
  • Contact Us
  • Appointments
×
  • About Us
    • Estelito M. Santos, Jr, D.D.S.
    • Meet Our Team
    • Read Our Reviews
  • Dental Services
    • General & Preventive Dentistry
    • Cosmetic Dentistry
    • Zoom! Teeth Whitening
    • Dental Implants
    • Restorative Dentistry
    • TMJ Treatment
    • Periodontal Treatment
    • Root Canal Treatment
    • Invisalign
  • Patient Info
    • Financial & Insurance Info
    • Patient Forms
    • Frequently Asked Questions
  • Contact Us
  • Appointments
1300 Kempsville Rd., Ste. 1 Virginia Beach, VA 23464
Santos Dental Health & Wellness
A Division of Atlantic Dental Care, PLC
Atlantic Dental Care
(757) 467-8181
Write a Review
(757) 467-8181
Santos Dental Health & Wellness
Menu
  • About Us
    • Estelito M. Santos, Jr, D.D.S.
    • Meet Our Team
    • Read Our Reviews
  • Dental Services
    • General & Preventive Dentistry
    • Cosmetic Dentistry
    • Zoom! Teeth Whitening
    • Dental Implants
    • Restorative Dentistry
    • TMJ Treatment
    • Periodontal Treatment
    • Root Canal Treatment
    • Invisalign
  • Patient Info
    • Financial & Insurance Info
    • Patient Forms
    • Frequently Asked Questions
  • Contact Us
  • Appointments
Menu
×
  • About Us
    • Estelito M. Santos, Jr, D.D.S.
    • Meet Our Team
    • Read Our Reviews
  • Dental Services
    • General & Preventive Dentistry
    • Cosmetic Dentistry
    • Zoom! Teeth Whitening
    • Dental Implants
    • Restorative Dentistry
    • TMJ Treatment
    • Periodontal Treatment
    • Root Canal Treatment
    • Invisalign
  • Patient Info
    • Financial & Insurance Info
    • Patient Forms
    • Frequently Asked Questions
  • Contact Us
  • Appointments

Patient Forms

Quality & Convenience

For your convenience, we’ve made our new patient forms available online. Just click on a form to print it and complete the required information. Please bring completed forms to your office visit.

Patient Forms

Assignment of Benefits
Medical History
HIPAA / Consent
Notice & Grievance

These forms require Adobe Acrobat Reader to view. If you don’t have Adobe Reader installed on your computer, click the Adobe icon to download the program.

New Patients Welcome

Conveniently request your appointment online!

Appointments
Our Office

Santos Dental Health & Wellness, Inc.
1300 Kempsville Rd., Ste. 1
Virginia Beach, VA 23464

Office Hours
Mon - Thu
8AM - 5PM

Friday by special appointment only

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Privacy Policy
(757) 467-8181
Member of the American Dental Association

Member of the American Dental Association

Member of the Virginia Dental Association

Member of the Virginia Dental Association

Member of the Tidewater Dental Association

Member of the Tidewater Dental Association

Atlantic Dental Care PLC Member

Atlantic Dental Care PLC Member

Invisalign Provider

Invisalign Provider

BBB-Accredited Business

BBB-Accredited Business

Dental SEO & Websites by Prodentite

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