Before you come in for your first visit with our dentists, we encourage you to fill out our patient forms and bring them with you. These forms give us the information we need to provide the proper treatment. Call Cedar Creek Dental today at 540-486-5111 to schedule an appointment with Dr. Alexis Mierzwa or Dr. Ahmad Salah and learn more about dental care in Winchester, Virginia.

Online Patient Form

New Patient Forms

Printable Patient Form

New Patient Form
Office Policies

Treatment Consent Form

Composite Filling
Conscious Sedation
Crown and Bridge Prosthetics
Endodontic Treatment
Nitrous Oxide Sedation

Patient Reviews


Monday8:00am - 5:00pm

Tuesday - Friday8:00am - 4:00pm

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