Patient Registration

Given the ongoing concerns with the Coronavirus, all new patients MUST print and complete our patient registration forms BEFORE you arrive to the office (you will be rescheduled otherwise).  If you are unable to do so, please call the office and other arrangements will be made.

Please arrive no more than 10 minutes prior to your scheduled appointment time.

Please click this link for the full Patient Registration Packet

Included in the packet are the following forms:

  1. Patient Information
  2. Health Questionnaire
  3. Privacy Practice Notice
  4. Financial Policy Disclosure & Agreement

When you arrive, simply provide our team with your completed registration forms, your dentist’s treatment referral form, and any x-rays available.