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Empress
Patient Forms
To save yourself some time on the first appointment, you can fill out our patient forms at home. Download and print our patient forms here. If you have any questions, please feel free to call our office.

New Patient Form

New Financial Agreement

Notice Privacy Practice

Acknowledgement of Privacy Practices



Our Office
Tomchik Dentistry
4624 Pembroke Blvd. Suite #103
Virginia Beach, VA 23455
(757) 460-2250 Phone
(757) 460-1865 Fax

Advanced Treatment
:: Digital X-rays (less radiation)
:: Porcelain crowns & veneers
:: Smile Whitening
:: Cutting-edge technology
:: Tooth colored fillings
:: Implant Restoration
Testimonials
"I thank you all for the great job you have done and how comfortable you all have made me feel. Many times it is the small things in life that mean so much. Thank you for doing a wonderful service." Read More...

- Mrs. Cullneath