New Patients


Welcome to the office of Drs. Duff and Cox, Ltd. located in Richmond, Virginia.  We are pleased that you have selected us to provide dental care for you and your family.

We will need some information in order to expedite your first visit to our dental office.  Please read the directions below and fill out the forms to the best of your ability.

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The two forms that we have made available here are for your convenience so that you can fill them out in the comfort of your home.  This will help eliminate any waiting time at the office.

Both of the following forms are Interactive PDF forms. All you need is Adobe Acrobat Reader (a free download) and you can fill them out on your computer, save them and submit them via email to the Office Coordinator, or you can print them out and bring them in completed at the time of your visit.

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New Patient Information Form

Medical and Dental History