New Patients

Dentist Fairfax, VA

We Welcome New Patients

We accept new patients of all ages. You will have the opportunity to meet with our team and get to know Dr. Mary-Stuart Gallian. We are committed to educating you about your dental needs and will answer any questions you may have concerning your treatment.

Our goal is to provide you with the highest level of dental care available today. Thank you for your confidence in our dental office and we look forward to meeting you.

New Patient Forms

To provide you with the most efficient new patient experience, please download and complete the forms below and bring them to your first appointment. Our team will take comprehensive records and address any concerns or questions you may have. If you have any problems downloading the forms, please contact our office and we will gladly send them to you.

Patient Registration
Medical History Form
HIPAA Consent Form
Records Request
Financial Policy

Your First Visit

Your first visit with us may include:

  • Comprehensive oral examination
  • Full mouth digital x-rays
  • Oral cancer screening
  • Oral hygiene instruction
  • Teeth cleaning
  • One-on-one consultation with our dentist to discuss your needs, concerns, goals, and treatment options

During your visit, we will answer any and all questions about your oral health. We will provide a detailed financial consultation to ensure your treatments are timed effectively and affordably.

Insurance and Billing

We will courtesy file your claims with your insurance company and work with you to help you understand and maximize your benefits. We will work with you to understand any financial responsibilities upfront, and have several financing options available if they are needed.

Private Care Dental Plan

At Dr Mary-Stuart Gallian, DMD we understand that financial strain can be a leading reason for not going to the dentist.  We also understand that not everyone has access to high-quality dental insurance for a number of reasons.  We offer an in-office Private Care Dental Membership Plan to help with those situations.  This is not insurance, and can not be used at other offices. Our Savings Plan is a special reduced fee dental plan that lets you and your immediate family take advantage of the full range of services offered by Dr. Mary-Stuart Gallian and her excellent team.

Click here to learn about our Membership Plan.

We also work with CareCredit and Lending Point to provide financing options. Contact us today to learn more.

Payment Options

For your convenience, you have several payment options including Checks, Debit Cards, American Express, Discover, Visa, and MasterCard. In addition, you may choose to use our financial partners, CareCredit or LendingPoint who can provide you with special financing. For your convenience, both LendingPoint and CareCredit offer online pre-approval from the comforts of your home.

We want to help you achieve your dental care in conjunction with your budget. Please feel free to contact us with your questions by calling or texting 703-273-4500, or emailing smilesbymsg@gmail.com.

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