Patient Forms, Map and Directions to Charlottesville Office

Your first visit to D.J. Bickers, D.D.S., PLC establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Mission Statement
Our mission is to place you, the patient at the heart of our practice through the professionalism of our compassionate aand knowledgeable team.

Patient Forms
Please print and fill out these forms so we can expedite your first visit:

• Patient Information Form
• Health Privacy Practices

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
 

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