
Patient Sign Up form for VCU School Of Dentistry
LENGTHY BUT WORTH READING- Exciting opportunity to become a dental patient at VCU
Hello everyone!
If you need dental care or would like to make sure you have good oral health, feel free to fill in this form! I am a dental student at VCU School of Dentistry providing care under the guidance of a faculty dentist. My schedule has opened up for this year and I’d be happy to see you! Filling out this form will ensure that someone reaches out to you within 3 business days.
Form link: https://forms.gle/5Dahe2AQigJ78NMRA
VCU School of Dentistry has a long waitlist if you call them but if you fill in this form, we might be able to get you scheduled sooner. VCU offers every oral health specialty under one roof, so you never have to go far for specialized services.
Our services include:
Cleanings and preventative care
X-Rays and exams
Fillings
Dentures
Root canals
Gum related treatment
Oral surgeries
And more!
We also accept VA Medicaid and most insurances!
In our student practice, patient care is provided by friendly and professional dental students from VCU School of Dentistry under the direct supervision of our faculty. Pricing and insurance participation may vary depending on your needs.
I will reach out to you to set up an appointment as soon as i can (within 3 business days).
VCU School of Dentistry provides services by appointment only. Our clinic and office hours are Monday-Friday, 9-5 p.m.
Please note: the personal information your provide below isnt going to be shared with anyone besides your provider and the school so we can create a patient chart for you.
Note For ALL Students:
There is a Student 2 Student Discount Plan for any VA students if you don't have Medicaid or insurance! Our Student 2 Student Discount Plan is exclusively for college students in Virginia. For a $40 fee per six month period, you will receive up to 80 percent off of cleanings, exams and X-rays, and 60 percent off of basic restorative treatment, such as fillings. You’re also eligible for customer teeth-whitening trays for more than 80 percent off.
Note For VCU Students:
For VCU Students, SmileWell may be a greater benefit. Look online for more detail/ to enroll:
https://health.students.vcu.edu/patient-resources/general-health/