New Patient Forms

Please take a minute to fill out the following secure patient forms before your first visit:

1612806487-kidsiconpng.pn

Medical & Dental History - Children

for patients under 18

Child Form
1612806384-adulticonpng.p

Medical & Dental History - Adults

for patients 18 and over

Adult form

Get in Touch!

(540) 720-4178

471 Garrisonville Rd, #101, Stafford, VA 22554

New patient? Special offer here!
Chat with us
Welcome to Lupi Orthodontics!
We are open and offering complimentary new patient consultations.
How can we help?
I'm considering treatment
I’m a patient and need assistance
Excellent, I can help!
Good news, We're are now offering both free Virtual and In-Office Consultations
Our goal is to make getting started on your smile journey as easy as possible!
If you'd like to start virtually, just send us some photos and we'll get started!
Otherwise, we'd be happy to schedule you in the office.
I'd like to set up a virtual consultation
I'd like to set up an in-person consultation
I have a quick question - click to call Lupi Orthodontics