Home|Paperwork & Information for Patients

Paperwork & Information for Patients

We believe that a lifetime of healthy, beautiful smiles is possible with help from our team of experienced pediatric dentists and highly trained dental assistants. You’ll find that our practice is unique in many ways, and we offer a level of care and service that goes above and beyond traditional dental offices. Since our practice is focused on children and young adults, we’ve created an environment that caters to their unique needs. To assist our patients and their families, we’ve organized a comprehensive informational page that covers all of the important resources, amenities, and support services available at Ashburn Children’s Dentistry. We invite you to explore these topics by clicking on the links below:

New Patient Paperwork & Information

New Patients can fill out and submit their new patient forms via the first link below.

New Patient Forms

Important Information about New Patient Exams

We look forward to seeing your smiling faces!

Existing Patients Information

Existing Patients can access their account and health history via the link below.

Existing Patient Login

What to Expect on Your First Visit

When you visit our office for your dental health visit, you will first be greeted by our new patient concierge who will give you a tour of our office and answer any initial questions you may have. You’ll then be introduced to the clinical team. We know that you or your child may have fears about going to the dentist, but we hope you’ll feel comfortable setting those fears aside! Our doctors and all team members strive to make children and parents feel at ease.

During the discovery session process, you and your child will have the opportunity to meet our team and learn about the unique way we approach children’s dentistry. We are not like other practices, and therefore it is important for us to explain our in-depth process for evaluating patients, determining patient needs, and developing customized treatment plans. We use an approach that prioritizes proactive and preventative solutions to target root causes of issues that can lead to a multitude of dental problems and developmental health concerns. To ensure your little one is off to the best start possible, we provide a valuable thorough assessment, anticipatory guidance, and recommendations involving minimally invasive interventions. After you’ve had the chance to learn about us and how we operate—and we get the opportunity to learn about you and your child—you can then decide if our pediatric dentistry practice aligns with your needs, budget, and goals. We want to make sure we are a good fit for you and vice versa! If you choose to move forward with entrusting us with your child’s care, we can then proceed to a full examination and comprehensive diagnostic testing. We reserve 90 minutes for this visit.

The examination by our advanced trained pediatric dentist will include:

When this process is done right and well-timed, we can identify potential challenges and make recommendations that can guide your child’s growth and development, keep them cavity-free, assist in restful sleep, and create a well-balanced face with healthy airways and smile.

Patient Comfort

Our caring, competent team of professionals await you at every visit and are always ready to deliver exceptional service. Our state-of-the-art, high-tech office was designed with your child’s comfort and safety in mind. Here are some of the amenities our office offers:

Childhood Memories Made into Healthy Lifestyles

Our goal is to help your child grow into an adult who routinely and comfortably seeks dental care. This is one of the goals of a pediatric dentist. In fact, pediatric dentists have an additional two to three years of training which specifically focuses (in part) on child psychology. In the practice setting, these skills often include spending extra time with your child, distracting him or her through many of our child-friendly amenities, and/or knowing when it is appropriate to discuss sedation options. It is very important to share any bad dental experiences from the past or fears your child may have with one of our doctors in order to help us provide the best possible care.

A Personal Touch for Patients with Special Healthcare Needs

At Ashburn Children’s Dentistry, our friendly and fun staff loves meeting patients of all ages and abilities, including patients with unique healthcare needs. Children with Down syndrome, Autism Spectrum Disorders, and other learning and developmental challenges will get the extra attention and care they need during their visits to our office. We’re honored to provide the highest-quality of care that these wonderful children deserve, and we will do whatever is needed to keep them relaxed and comfortable during their treatment. We also offer quiet, more private rooms, which are available upon request when you make your child’s appointment. We operate a 100 percent restraint-free facility and utilize only personalized care and special attention when interacting with our patients who have special healthcare needs.

What an amazing place! They took wonderful care of my son, who has extreme anxiety about doctors and dentists. He had such a good experience that he now wants to be a dentist when he grows up!

Kristin Grimes

September 30, 2020


Patient Rewards

Creating a beautiful smile requires both a commitment from us and cooperation from your child—our fabulous patient. We’ve found that the best way to encourage great dental habits and regular appointment attendance is through the positive reinforcement of our Patient Rewards program!

Our program was created as a way to recognize the hard work of parents and children by providing fantastic rewards along the dental treatment journey. Make sure you bring your rewards card to each and every appointment to receive your points. Points are redeemable for a wide range of prizes your child will love!

Have you had a chance to log in to view your points? You can view your points at any time by visiting our Patient Rewards Hub:

To access your account, enter your 16-digit rewards number and 4-digit password to check your current points. If you are not already registered, you can use the same link to set-up your account and then view your rewards. You can redeem your rewards for great prizes, many of which cost as little as 100 points!

Post-Operative Care

We can greatly improve your child’s post-operative outcome through the use of laser technology. Laser treatment can minimize pain, bleeding, and swelling, while also expediting healing time. For more information about post-operative care, we invite you to explore the instructional guides we’ve provided below:

Please do not hesitate to call us if you have any questions after your child undergoes treatment.

Patient Resource Center

In addition to providing high-quality treatment we also place a high priority on educating our patients and families. We have compiled a comprehensive collection of educational resources to help you learn more about the health concerns we treat and the efficacy of the solutions we provide. Each section links to reliable research findings published in respected peer-reviewed journals.

Patient Resource Center

Dental Financing

In addition to accepting coverage provided by many dental insurance plans, we also offer dental financing through third-party lenders to assist patients without insurance or to help with costs that are not covered by insurance.

Dental Financing

Online Bill Pay

Conveniently and securely pay your bill online! Before making your payment, please call our office to check on your balance.

Online Bill Pay


Get answers to many of our patients’ frequently asked questions. FAQs are grouped by topic so that you can find the specific information you are looking for more easily:

Financial Questions

Will I need to pay for my child’s visit if I have insurance?

Insurance plans vary from person to person. Our team will be more than happy to complete a complimentary benefits check to find out your family’s financial responsibility for each appointment.

What if my child does not have any dental insurance?

Our practice offers several financial plans to help make maintaining your child’s health easy and affordable. Please call or stop by to speak to one of our wonderful team members to learn more about them.

Treatment Questions

When should I bring my child for their first dental health visit?

The American Academy of Pediatric Dentistry advises that parents bring their child for their first professional cleaning and exam by the child’s first birthday or six months after their first tooth has erupted. This appointment allows the doctor to ensure your child is healthy and to note or resolve any suspicious areas in your child’s mouth. This appointment is also the perfect opportunity to learn age appropriate oral hygiene habits that you and your little one should be doing together.

Why should I bring my child to a pediatric dentist instead of my family dentist’s office?

Pediatric dentists complete two additional years of specialized training to properly evaluate, diagnose, and treat children. Pediatric dentists focus on prevention and promoting proper growth and development. Children require extra care in establishing and maintaining their oral health for optimal results. Our goal is to create healthy smiles for a healthy body.

Why should my child have dental X-rays taken?

Once the baby teeth in back are touching one another, annual bitewing X-rays are recommended to detect any infection or cavity that cannot be seen by naked eye. If your child is at a high risk of dental problems, we may suggest having X-rays taken at an earlier age. Panoramic X-rays help us evaluate the growth and development of your child, check for extra or missing teeth, and rule out any unwanted growths or lesions.

Why do I need to be concerned about baby teeth? They aren’t permanent.

Baby teeth are essential to the growth and development of your child. They are responsible for so many things, such as:

Loss of baby teeth due to decay or unresolved trauma can lead to serious complications for your  child’s health that go beyond just the mouth.

Are you equipped to treat my child with special healthcare needs?

Absolutely! Our team of doctors welcome all children, and are able and willing to make any accommodations necessary so that your child’s appointment is a success. We are specially trained and prepared to support, educate, and treat families with all types of needs to ensure a healthy life. It is important for children with special healthcare needs to maintain regular dental health visits every three to six months as they are more prone to tooth decay and gum disease.

What are sealants and why are they necessary?

Sealants are a great way to protect teeth that are typically prone to decay. Back teeth have deep grooves and narrow crevices that are too small for even our most diligent brushers to keep clean. A sealant is a clear resin material which covers those crevices and fills in the deep grooves. The sealant prevents bacteria from becoming trapped within the deep grooves and crevices, ultimately preventing cavities from developing in those hard to reach pits.

What are the benefits of laser dentistry?

We are the first in the area to offer advanced dentistry through laser technology to provide children with minimally invasive treatment options. With the effective WaterLase® dental laser, we can perform comfortable and pain-free procedures without numbing the lips, cheeks, and tongue for hours! We use the WaterLase® for a variety of procedures, including but not limited to, fillings, soft-tissue procedures, and revision of lip and tongue-ties (frenectomies). Our dual Wavelength frenectomy protocol is accomplished with our Fotona Lightwalker and our CO2 Lightscalpel lasers.

What is IV sedation and is my child a candidate?

IV sedation can be the perfect solution for providing safe, quality dental care for children that require treatment due to trauma or decay. Children who are younger, have high anxiety, special healthcare needs, or extensive treatment plans can be strong candidates for IV sedation. IV sedation allows a child to be treated while they are in a twilight sleep state, breathing on their own. Patients are under close supervision at all times by our trusted and highly experienced anesthesiologist, board-certified pediatric dentist, and specially trained dental assistants.

Digital Referral Form

Many children are referred to our office by another dentist or physician due to our expertise in pediatric dentistry. Our digital referral form makes it easy for doctors to fill out and submit patient referrals to our team with all of the pertinent information attached.

Digital Referral

If you have any questions about our practice or would like to schedule a discovery session for your child, please contact Ashburn Children’s Dentistry.

Related Preventive & Comprehensive Dental Care Services
Contact Us