Patient Forms & Portal Login


The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Our Doctor and our caring staff. We encourage questions and do our best to always deliver quality care.

As a service to our patients and in efforts to streamline your first visit, we provide our new patient forms online. Patients may download and print the forms to be filled out and brought with them on their first visit to East Market Dental.


Patient Forms


We also provide our patients with access to their patient portal. Here patients can access all of their information from billing, to their next appointment date. If you have trouble logging in, please contact our Fairfax office.

Sign into your patient portal to access all of your patient information.


Click Here to Sign In





This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.