Patient Registration

To expedite your initial visit, please print and complete our patient registration forms BEFORE you arrive to the office (otherwise please plan to come 30 minutes prior to your appointment to complete the required forms in our office):

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.

PLEASE DO NOT USE THE ONLINE REGISTRATION FORM BELOW