Patient Forms

Covid-19 Letter

Patient Registration

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.

Online Patient Registration

Please take a minute to print and fill out the patient information form before your first appointment:

  • Registration – PDF
  • Health History – PDF
  • HIPAA – PDF
  • Informed Consent for General Dental Procedures – PDF
  • COVID-19 Patient Screening Form PDF

If you’re unable to open PDF files, you can get Adobe Reader® for free.