PATIENT REGISTRATION

For patients who have already scheduled an appointment with our office: 
You can save time by filling out your Registration Forms!

​If you need to schedule an appointment with our office, please click HERE or CALL our office.

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Before you start your Registration:  Please be sure to have your Dental and Medical Insurance information readily available. ​We will not be able to properly process your visit if you do not provide us with accurate insurance information. ​

Please bring your insurance cards to your visit.

                                  Click here to access the
​                         Online Registration Forms

If you are Registering for a minor:  All signatures for consents and agreements must come from a parent/legal guardian ONLY. 
​All children under the age of 18 must be accompanied by their parent/legal guardian. 

DO NOT leave the page once you have started entering your information, you will not be able to save and return later. 

DO NOT click the "Complete and Send" button until you are finished and have completed it in its entirety. This button will remain at the bottom of your screen while you are entering your information.

After you have completed your Registration: Please make sure to press the Complete and Send button at the bottom of your screen. 

​If you do not properly submit your forms, there is a chance we will not receive them and you will have to start over either Online or with a paper version available in the office.

​The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.