Patient Forms

s-braces1New Patient Forms

For your convenience, you may download, print and fill out the following forms and bring them to your first appointment:


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Dr. Thomas W. Butterfoss and Dr. Jennifer L. Butterfoss Barton

  • Grafton - 4310 George Washington Memorial Hwy., Grafton, VA 23692 Phone: 757-898-5448 Fax: 757-898-4187
  • Hampton - 2111 Hartford Rd., Hampton, VA 23666 Phone: 757-838-3400
  • Gloucester - 3224 George Washington Memorial Hwy., Gloucester, VA 23072 Phone: 804-993-7500

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