Patient Forms - Dehyar Dental

At Dehyar Dental, we aim to make your visit as smooth and efficient as possible. To expedite your check-in process, we provide our patient forms online. Completing these forms prior to your appointment with Drs. Elham Dehyar, Dr. Joseph Dehyar, or Dr. Tamanah Anwari ensures that we can dedicate more time to addressing your dental care needs.

New Patient Form
Medical History Form
Dental Insurance Information Form
Privacy Practices Acknowledgement Form

For assistance with the forms or any queries, please call Dehyar Dental at 703-764-0650.

Your Smile, Our Priority

Request Your Appointment Today

Ready for confident, comfortable dental care? My Fair Lakes Dentistry makes getting started simple. Our friendly team listens, explains options clearly and creates a treatment plan tailored to your goals, timeline and budget. Whether you need preventive visits, Invisalign, crowns, implants, or urgent relief, expect modern technology, gentle techniques and prompt communication. Scheduling is easy online or by phone, and we offer convenient hours to fit busy lives in Burke, Virginia. Call 703-764-0650 or request an appointment now to reserve your visit. We look forward to welcoming you, answering your questions and helping you enjoy a healthy, beautiful smile you’re proud to share.

Day	Hours
Monday	9:00 a.m. - 5:00 p.m.
Tuesday	9:00 a.m. - 5:00 p.m.
Wednesday	9:00 a.m. - 5:00 p.m.
Thursday	9:00 a.m. - 5:00 p.m.
Friday	9:00 a.m. - 2:00 p.m.
Saturday	Closed
Sunday	Closed