Patient Registration

We do ask all of our new patients to fill out our new patient registration form to schedule an appointment in our office. This way we can verify your dental insurance information and check your benefits before your arrival.  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.

Important: We do require our registration form to be filled out at least two day prior to your appointment. If this paperwork is not submitted to us by your scheduled appointment time, your appointment may be rescheduled at our discretion. In our practice we try our hardest to insure we see our patients on time, and in a timely manor. 

Patient Registration