Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Forms. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Click the Patient Registration button below to fill out our new patient forms:

Patient Registration

• Consent to SHARE Dental Records
• Record Request
• HIPAA Disclosures

There is a direct correlation between medical history and dental history, it is important for your Dentist to review your medical history prior to your dental treatment. In addition to collecting crucial medical information, registration information is also required for identification and verification. These records allow our clinicians and business office provide the best possible treatment for each individual.  Your time in completing the required information is greatly appreciated.