Health History Form

Are you a new patient? Please fill out our health history form and bring it to your first appointment. You can also complete the form in our office. Please arrive 20 minutes prior to your appointment to allow yourself plenty of time to fill it out. Thank you!

Health History Form Dietrich DentalClick to download

Office hours

We are open Monday, Tuesday, Thursday and Friday from 8am-4pm, Wednesdays from 8am-12pm.

Any messages are returned promptly. Please let us know when the best time to reach you would be.


  • 2 hour parking is available on Fessenden Street.
  • Metered parking is available throughout our neighborhood.
  • The building charges $5 for the first hour for parking in the lot to the rear. Note: a credit card is required for exit from the lot.

Insurance questions?

Please contact our office manager, Patrice, at 202-363-6177.

Need to send us a fax?

Please give us a call first to let us know.

Our fax number is 202-537-1452.

Our office is just 2 blocks from Friendship Heights Metro Station


5028 Wisconsin Ave NW #102
Washington, DC 20016

Taking Metro? Use the south exit of the Friendship Heights station on the Red Line. Walk two blocks to Garrison Street, we’re the first building on the right after Garrison and Rodman’s.