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 Complete and Send 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.
Medical Release Form
Complete a medical release form to authorize someone other than your referring dentist to have access to your records. This would be a spouse, friend, or parent if the patient is over 18 years of age.
We’re Here To Help!
Call us with any questions about completing our registration forms.