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: