Cape Charles Dentistry
Make an Appointment Today!
Call us at: (757) 331-1589
Barney E Selph, DDS
726 Randolph Avenue
Cape Charles, VA 23310
Fax:757-331-1348
Email: drselphdds@gmail.com
Use our contact form to get in touch.
Office Hours
Monday, Tuesday, Wednesday 8AM to 4:30PM
Thursday 8:30AM to 5PM
Outside our regular business hours, please note our emergency care information.
Keep Your Teeth Healthy!
Want to learn about the best preventive care for your teeth? Find out how to make your next visit easier and more pleasant.
Get Social With Us
Patient Forms
If you are a new patient, please download and fill out the following forms before you come in for your first appointment. If you have dental insurance, bring your insurance information with you during your initial visit.
Patient Medical History Form
This form is mandatory for new patients. To expedite your visit, print this form, fill it out and bring it with you for your first visit.
Privacy Notice
Please read over and sign our Notice of Privacy Practices and Financial Policy. This form should also be brought to your first appointment.
Release of Records
Use this form to have your records sent to our office
Scan0008.pdf
Adobe Acrobat document [238.5 KB]
Print 