2821 N Parham Rd #102, Richmond, VA 23294 (804) 280-0853

New Patient Forms

At Riverwind Dental, our goal is to make this process easier and help our new patients better understand our practice, and take the first steps toward a healthier, more beautiful smile!

Before your appointment, you can print complete the forms to prepare for your first visit and to make your check-in for your appointment quicker and easier.

•	Registration and Health History
•	COVID-19 Treatment Consent
•	HIPAA Notice of Privacy Practices
•	HIPAA Acknowledgement
•	Financial Policy

Riverwind Dental

Dr. T. James Dix
Dr. Justin Mure

(804) 280-0853

2821 N Parham Rd #102
Richmond, VA 23294-4412

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New Patient Forms

New Patient Forms | Riverwind Dental | Richmond, VA
Get ready for your appointment at Riverwind Dental! Download and fill out our new patient forms online for an efficient start to your dental care in Richmond, VA.
Riverwind Dental, 2821 N Parham Rd #102, Richmond, VA 23294; (804) 280-0853; riverwinddental.com; 8/22/2025; Related Phrases: Cosmetic Dentist Richmond Va;