Linh T. Tran, DDS, PC

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    703-916-8571

     

    Merrion Centre Professional Park

    4200 Evergreen Lane, Suite 325

    Annandale, VA 22003

     

    Fax: 703-916-1450

    COVID-19 Update:  Our office is currently closed.  We are monitoring the situation and will re-open when it's safe to do so.  Emergency coverage is available for our current patients.  Please call or email us with any questions. 

    Call us today on 703-916-8571

    Email: LTdds325@gmail.com

    More info >>

    Adult Registration Forms:

    Pediatric Registration Forms:

    Privacy Policy & Authorization Forms:

    Consent for Use & Disclosure of Health Information Form:

    For New Patients - Welcome to Our Office!

     

    Please download, fill out, and bring to your initial visit:

     

    1.  Adult or pediatric registration forms as appropriate, including the medical/dental history

    2.  Privacy Policy & Authorization Forms

    3.  Consent For Use & Disclosure of Health Information

    Patient Registration.pdf
    Patient Registration.pdf
    Medical&Dental History.pdf
    Medical&Dental History.pdf
    Pediatric Registration.pdf
    Pediatric Registration.pdf
    Pediatric Medical History.pdf
    Pediatric Medical History.pdf
    PrivacyNotice.pdf
    PrivacyNotice.pdf
    Consent For Use & Disclosure of Health Info.pdf
    Consent For Use & Disclosure of Info.pdf
    Receipt of Privacy Policy.pdf
    Receipt of Privacy Policy.pdf