Patient Information

Doctor Filling Form

Patient Forms & Financial Options

Drs. Vargas and Dr. Rueda are committed to providing you and your family with the dental care you need to reach bright, healthy smiles. We know that affording dental care can be a cause for concern, so we are in network with all PPO insurance plans and Medicaid State for children. Contact Virginia Dental Group to learn more about dental insurance. We also accept the following forms of payment:

  • Cash
  • Check
  • Credit cards
  • CareCredit

CareCredit is a third-party financing company that helps patients afford dental care by providing no-interest payment plans. Feel free to contact our dental office today for more information about our financial options and to schedule an appointment with our dentists in Fairfax, Virginia.

Our Patient Forms:

Patient Questionairre Form

COVID Disclosure Form

Patient Information Form

Medical History Form

HIPPA Notice of Privacy

Financial Policy