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(804) 409-8698

Patient Forms

Our New Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer, as well as, introduce you to Dr. Murchie and our caring Team. We encourage questions and do our best to always deliver quality care.

Please take a moment, prior to your scheduled appointment, to fill out the patient forms. We ask that you bring the completed forms with you to your appointment, so we may assist you in a timely manner. Thank you for your confidence in our office; we look forward to assisting you with all your dental needs!

New Patient Forms:

Click here to fill in and print out

Notice of Privacy Practices 

Home Care Instructions:

Extraction Home Care Instructions 

Whitening Home Care Instructions


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


Contact Us

Contact dentist, Peter R. Murchie, D.D.S., with any questions or comments you may have. You can call our Manakin Sabot dentistry in Goochland at (804) 409-3627 or use the quick contact form below.