We want you to have as much time as possible to enjoy your beautiful, new smile. To aid in this effort, we have provided our patient forms online. Simply print out the forms below and fill them out before your next appointment with Dr. Alfred Haeberer, our caring dentist in Potomac Falls, Virginia. If you need help filling them out, or if you have any questions, please contact Haeberer Family & Cosmetic Dentistry today. We are eager to speak to you!


Online Forms

To submit online forms you must use the Google Chrome web browser.
Click here to download.

Printable Forms