Starfish Dental

New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

Patient Registration

Medical History

Consent for Dental Treatment

Medical History Update Form

Health Information Release

Records Release Form

About Your Dental Insurance

HIPAA Policy Statement

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (757) 481-3893
View the ADA Accessibility Statement

A Note about Coronavirus

We want to thank each of you for your continued support and well wishes.
Dr. Zapatero has been in contact with leading dental infection control researchers.  Current studies from around the world have clearly shown that there have been ZERO transmissions of ANY diseases (bacterial or viral) linked to aerosolized particles produced during a dental procedure. NONE!  Universal precautions already in place have kept both patients and our staff safe.  We have more than a thirty-year safety track record and continuously implemented new safety control measures.  That being said, we have taken additional measures to enhance our protocols. We will continue to monitor the data and research because we understand that one day a link "MAY" occur.  Everyone's well being is our concern.