1701 Sunset Lane
Culpeper, VA 22701
(540) 825-1366
Consent Forms
- Parents of children under the age of 18 must sign and return our
Parental Consent Form in order to receive services without parental
supervision. Parental Consent Form
- Patients needing xrays forwarded from Dr. Mills' office to another
Dentist must sign and return our Medical Release Form. Medical Release Form