Patient Registration

Easy Steps for Patient Registration:

Step 1)  Please fill out your health and dental history forms online to expedite your visit

• Medical and Dental forms (refresh page if link doesn’t work immediately)

Your privacy is very important to us. The registration form is on a secure system with encryption to ensure your information is never shared with anyone but us.

Step 2) Please view our COVID-19 information page to see updated office policies

• To ensure your safety as well as that of all other patients and staff, please fill out COVID-19 Questionnaire of your online medical forms (refresh page if link doesn’t work immediately)

Step 3)  Optional Resources about dental care:

• Restorative and Hygiene Appointments
• Dental Materials Fact Sheet
• Facts You Need to Know
• Financial Acknowledgment and Release
• Informed Consent
• Notice of Privacy Practice Summary

Note: To use the above forms, you will need Adobe Reader version 9.0 or above. If you need to download Adobe Reader, please click the button below: