New Patients

Patient Forms, Map and Directions to Rockville Office

Your first visit to Asghar Kazemifar, D.D.S., P.C. establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

What to expect 

  • Will need to bring ID, insurance card, and insurance subscriber information
  • Arrive early to fill out patient registration and medical history form OR print out attached form and complete prior to initial visit (will mail hard copy to ensure highest quality version gets put on to website)

 

Patient Forms


Please print and fill out these forms so we can expedite your first visit:

  • Coming Soon

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.


 

Driving Directions

Rockville Dentist - Rockville Dental Office

Asghar Kazemifar, D.D.S., P.C.
6339 Executive Blvd
Rockville, MD 20852-3905
(301) 984-7572

 

Reston Dentist - Reston Dental Office

Asghar Kazemifar, D.D.S., P.C.
11717 Bowman Green Dr.
Reston, VA 20190
(571) 313-8381