Patient Forms

You may access the following forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of each form.

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Drs. Lakas & Shaeffer, DDS

  • Drs. Lakas & Shaeffer/Clarendon Family Dentistry - 1301 N. Highland St., Arlington, VA 22201 Phone: (703) 522-8894

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