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(410) 987-9100251 Najoles Road, Suite #J Millersville, MD 21108M/T: 7am - 4pm; W: 7am - 3pm; TH: 7am-1:30pm; F: Closed
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Dr. Brian Valle
Dr. Brian ValleDr. Brian Valle
  • Start Here
    • Meet Dr. Brian Valle
    • Meet our Dental Team
    • Areas We Serve
    • What Sets Us Apart – Your Millersville Dentist
    • Office Visits
    • Office Tour
    • Before And After
    • Financial Information
    • Patient Forms
    • Testimonials
    • Our Blog
  • Functional
    • General Dentistry
    • Preventative Dentistry
      • Periodontal Therapy
      • TMD Therapy
      • Athletic Mouth Guards
    • Family Dentistry
    • Pediatric Dentistry
      • Sealants
    • Restorative Dentistry
      • Dental Implants
      • Dentures
      • Dental Bonding
      • Dental Bridges
      • Root Canal Therapy
    • Sleep Apnea Treatment
    • Emergency Dentistry
  • Cosmetic
    • Cosmetic Dentistry
    • Dental Crowns and Veneers
    • Teeth Whitening
    • Porcelain Veneers
    • Orthodontics
    • Invisalign
    • Dermal Fillers
  • Technology
    • Advanced Dental Technology
    • Sedation Dentistry
  • Contact
    • Millersville Dental Office
    • Appointment Request
    • Refer A Friend
  • Start Here
    • Meet Dr. Brian Valle
    • Meet our Dental Team
    • Areas We Serve
    • What Sets Us Apart – Your Millersville Dentist
    • Office Visits
    • Office Tour
    • Before And After
    • Financial Information
    • Patient Forms
    • Testimonials
    • Our Blog
  • Functional
    • General Dentistry
    • Preventative Dentistry
      • Periodontal Therapy
      • TMD Therapy
      • Athletic Mouth Guards
    • Family Dentistry
    • Pediatric Dentistry
      • Sealants
    • Restorative Dentistry
      • Dental Implants
      • Dentures
      • Dental Bonding
      • Dental Bridges
      • Root Canal Therapy
    • Sleep Apnea Treatment
    • Emergency Dentistry
  • Cosmetic
    • Cosmetic Dentistry
    • Dental Crowns and Veneers
    • Teeth Whitening
    • Porcelain Veneers
    • Orthodontics
    • Invisalign
    • Dermal Fillers
  • Technology
    • Advanced Dental Technology
    • Sedation Dentistry
  • Contact
    • Millersville Dental Office
    • Appointment Request
    • Refer A Friend

Patient Forms

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  2. Patient Forms

Download the patient forms below, fill them out, and bring them to your appointment at Dr. Valle’s office.

  • Notice of Privacy Practices
  • Acknowledgement of Receipt of Notice of Privacy Practices
  • Authorization For Release of Photographs
  • Confidential Information Questionnaire
  • Dental History
  • Medical History
  • Financial Guidelines
  • COVID-19 Patient Screening
  • Now Let’s Talk About You

If you’re unable to open PDF files, you can get Adobe Reader® for free.

Patient Forms Toothache Relief in Millersville MD patient forms Dr. Brian Valle dds Dentist in Millersville maryland Dr. Brian Valle P. A. dentist in Millersville, MD Dr. Brian Valle

Dr. Brian Valle, P.A.

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  • Phone number:
    (410) 987-9100
  • Address:
    251 Najoles Road, Suite #J Millersville, MD 21108
  • Email:
    valledds@gmail.com
  • Business hours:
    M/T: 7am - 4pm ; W: 7am - 3pm ; TH: 7am - 2pm; F: Closed

Find us on:

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Sharing some good news…

 

We’re BACK- the welcome mat is out, and our doors are open.

 

I know it has clearly been a challenging time for all of us, but we are happy to say that we have re-opened and are here ready to serve you.  Our team is looking forward to see you again! 

 

Note that we continue to take every precaution and more-   going above and beyond directives from the Centers for Disease Control and Prevention (CDC) – to make certain our practice remains totally safe for our team members, for you and your loved ones.   

 

Our primary goal remains treating every patient in a way that makes it clear how absolutely important you are to us.  When you visit our office, you are going to be cared for like we would any other treasured family member.  

 

Please let us know how we can serve you – either over the phone, in person or any other way.  

 

If you have any questions or would like to schedule your next visit, feel free to contact us at 410-987-9100.   

 

Sincerely yours, 

Dr. Valle