Patient information

Patient Information

Patient Information & Forms For A Smooth Visit

Welcome to Lansdowne Dentistry by Design! We are a family and cosmetic dentistry practice providing exceptional care for families in Lansdowne, Virginia and the surrounding communities. We believe in helping each person attain exceptional oral health with a personal approach and compassionate care. Our team will always tailor treatments to your unique dental needs and goals in an honest and trustworthy environment. Our goal is to help you feel confident in the care you receive—we’re dedicated to earning your trust and building lasting relationships with the families we serve. Please kindly fill out the patient forms below before coming to us for your first visit in order to ensure a seamless experience.

Please use the links below to download and complete the following patient forms, which you may bring with you to your upcoming appointment. Thank you.

If you prefer to download all the above forms at one time, please click here.

Insurance We Participate With

At Lansdowne Dentistry By Design, we strive to make high-quality dental care accessible and affordable for every patient we serve. We accept a wide range of dental insurance plans and work with most major providers to help maximize your benefits. Our knowledgeable team verifies your coverage before your visit and will gladly explain your policy details so you understand what’s covered. We’re always happy to file claims on your behalf. If you’re unsure whether we accept your specific plan, simply give us a call or bring your insurance information to your appointment.

  • Aetna PPO
  • Aetna Medicare
  • Ameritas PPO
  • Anthem PPO
  • BC/BS of Texas
  • BC/BS of Illinois
  • Carefirst PPO
  • Cigna PPO
  • Delta Dental Premier
  • Delta Dental Medicare
  • Delta Dental Individual
  • GEHA
  • Guardian
  • Lincoln
  • Metlife PDP Plus
  • Mutual of Omaha
  • Principal
  • SunLife

  • United Health Care
  • United Health Care Medicare
  • United Concordia PPO
  • Unum
Smiling couple perfect teeth dental patient

Honest Dentistry,
Beautiful Smile Results

For over 30 years, Lansdowne Dentistry by Design has delivered expert, personalized dental care to the Northern Virginia community. From routine checkups to advanced treatments, every service is tailored to meet each patient’s individual needs in a warm, welcoming environment. We have a compassionate team and a commitment to stress-free care, and treat every patient like family—empowering them to smile with confidence.