Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Patient Registration Form

Please be sure to bring the following information to your appointment :
  • Your referral slip from the doctor who referred you
  • X-rays (if applicable)
  • A list of medications that you are taking
  • Medical/dental insurance cards

At your first appointment, we will conduct a comprehensive consultation. The doctor will review your dental and medical history, perform an oral exam, and discuss your diagnosis and proposed treatment plans. You will be encouraged to ask any questions so you can make an informed decision regarding treatment options.

**Patients under the age of eighteen, must be accompanied by a guardian.**