New Patient Information

Patient Forms

To help speed up your child’s first appointment, we invite you to print the following forms to complete at home. Please bring completed copies along with your child’s dental insurance card to their first visit, birth certificate, your driver’s license and custody paperwork (if you are not a natural parent or share custody.)

Forms to print for first appointment:

Talking To Your Child About Their Appointment

We encourage you to tell your child about their dental visit.

Children are very aware of your emotions and will often mimic your attitude at the dental office. If you model a calm and pleasant attitude, often your child will also be calm and pleasant. However, if you are nervous when visiting the dental office, your child will likely be nervous and may not tolerate the dental visit as well.

As the parent, you set the stage for your child’s dental experience before ever bringing them into the dental office for an appointment. We try to portray a positive environment and invite you to do the same in the days leading up to the appointment and while you are in the office with your child.

Questions about our policies? Contact us today.

When Speaking With Your Child Avoid Negative Language:

Instead of Saying… Try This Instead…
Exam The dentist is going to count your teeth
Shot or Needle Numbing Medicine
Pull or Yank Wiggle or Pressure
Cavity Sugar Bugs!
Hurt After the dentist is done, you’ll start feeling better

Remind your child that everyone at the office is friendly and will answer questions for them.

Need help talking to your child about their appointment? Contact us today.

Office Policies

We are committed to providing compassionate care of the highest quality possible to the best of our abilities. We strive to always keep your child’s best interest in mind when providing dental care, regardless of race, religion, gender, disability or insurance status.

It is our desire to meet your child’s needs and your expectations as a parent. In doing so, we ask for your assistance in developing a mutually respectful relationship.

  1. We ask that the natural parent or legal guardian of the child must be present for the examination.
  2. Dentistry may involve procedures that require the consent of the legally authorized adult and your presence is necessary in order to give permission for all dental treatment.
  3. We will also ask for a copy of your child’s birth certificate and a copy of your driver’s license to verify that you are a natural parent. If you are not the natural parent of the child (i.e. foster parent, grandparent with custody, adoptive parent, etc.), we will ask you to bring the appropriate legal documentation that establishes legal custody and authorization for you to make healthcare decisions on behalf of the child.
  4. If you are a temporary guardian, we will ask you to bring in any court-ordered extensions or revisions to the custody status of the child as they become available.
  5. All documentation must be current and will need to be furnished from the court system or social services agency responsible for this determination.

We know that not all doctor or dental offices ask for this level of documentation, however, we hope that you will understand that we are merely striving to keep the child’s best interests in mind.

Questions about our policies? Contact us today.

Meet Our Doctors & Staff

We believe that all people are special. We believe that patients are more than just a set of teeth. Everyone deserves to be shown kindness, dignity, respect, and compassion – our passion is serving children!

staff children's dentistry of charlottesville

What Our Patients Say

 

Amy MoyersChildren’s Dentistry of Charlottesville is a dream come true! My daughter is super shy and the whole staff makes her feel comfortable and at ease..

— Amy M.

 

Call Children’s Dentistry of Charlottesville at (434) 817-1817 or contact us online to learn more.

David Herce, DDS
David Herce, DDS
Eric Johnston, DDS
Eric Johnston, DDS
Kimberly Tran, DDS
Kimberly Tran, DDS
Jessica Moore, DDS
Jessica Moore, DDS
Jose Urresti, DDS
Jose Urresti, DDS
John Will, DDS
John Will, DDS
Learn More About Our Doctors & Staff

Financial Information

We accept Medicaid and many other insurance plans, including those from:

  • Anthem
  • Metlife
  • Guardian
  • United Concordia
  • Delta Dental
  • Cigna

Office Information

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