Patient Forms

Please take the time to print and fill out the patient forms packet before coming into our office.  This will ensure that your wait time is minimal in our waiting room. 

Online Patient Forms

Patient Registration Form

Medical History Form
Dental History Form

Office Map

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Roanoke Dentist, Dr. Rohit Kumar provide in Dental Implant Restorations, Full Mouth Restorations, Porcelain Veneers, Crowns, Bridges, Dentures & many other dental procedures. Please call us today to schedule a consultation with Dr. Rohit Kumar.