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New Patient Forms

Midgette Family Dentistry in Chesapeake, Virginia

Fill out new patient forms before your first visit

For your convenience, we’ve provided links to the forms needed prior to your appointment. Please print and fill out these forms so we can expedite your first visit:

The purpose of these new patient forms is to gather some information from you so that we can start building out your new patient profile before your appointment. Knowing this information will help us provide the best experience and care possible.

To view or print these forms, you will need Adobe Acrobat Reader installed. Download it here.

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“A little over two years ago I had to switch from Dr. Midgette’s Dentistry due to an insurance change. Recently I was able to obtain coverage that listed Dr. Midgette as an approved provider. It feels sooo good to be back home!”

Wenda Massey

“Friendly staff and great service. They do a great job of explaining what needs to be done and mapping out a plan of attack that fits you.”

Leonard Thurman

“As usual, everyone was pleasant and professional from the time I entered the front door until I left. Fabulous office. My wife switched to this practice and she has the same experience. Great dentistry!”

Michael Bono

“Once again, a great experience at Midgette Dentistry! Staff pitched in to help each other out. Everyone was friendly, funny, and welcoming. Highly recommend!”


“Hesitant to tell how wonderful these people are because everyone will want to be treated here. I’ve been coming to them for 30 years and have great respect and trust in every aspect of this group.”

Suzanne Collins
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