Dr. Dick Wilson
Swift Creek Dental Center
6025 Harbour Park Drive
Midlothian, VA 23112
(804) 739-7391

Welcome to our Practice.  Below you will find our Medical History Forms which you will need for your first visit.  Simple click on the form needed, print, fill out the form, and bring it with you for your visit.  Our staff will be happy to assist you with any questions.

    Patient History Form    Patient History Form

    Child History Form    Child History Form