New Patient Forms Hampton Roads, VA

You can now fill out your new patient forms through our secure online portal. Please select the appropriate paperwork below and fill out your forms online prior to your first visit.

If you are unable to complete your forms online, you may also download our patient forms, print and bring them with you to your appointment. If you have any questions or need assistance in completing your paperwork, please call our office.

Patient forms for Dr. Harper

Conveniently located:

3 miles from:

  • Tysinger Mercedes Benz /Audi
  • Sentara Complex
  • I-64 exit 262

5 miles from:

  • Whole Foods
  • Port Warwick
  • Oyster Point
  • I-64 exit 256
  • NN/Williamsburg International Airport
  • Hampton Roads Academy


Harper Dental Care
235 Wythe Creek Road
Poquoson, VA 23662

New Patients 757.414.7227

Current Patients 757.868.8152


Monday 7:15 to 3:30
Tuesday 7:15 to 3:30
Wednesday 7:15 to 2:30
Thursday 7:15 to 2:30