New Patients
Register Online
We look forward to seeing you at our office! Save time during your next visit by registering online. Make sure you are ready to go with our first time visitor instructions.
You can fill out these forms at the comfort of your own home.
- Prevents missing important information before your visit
- Reduces your waiting time during your visit
- Guarantees proper filing after your submission
For your safety and adherence to HIPAA, none of your personal information is stored on our website. Submissions are safely transferred via Secure Socket Layer (SSL) technology directly to our office database.
If you would prefer to print and bring the forms in-person, you can do so using the links below:
New Patient Online Registration
Encrypted with Secure Socket Layer technology verified by a digital certificate.
First-time Visitor Instructions
Important Information
Please assist us by bringing all of the following information that apply:
- Photo ID
- Insurance cards
- Recent X-rays (within 6 months)
- List of current medications
- Medical and dental health history
- Completed medical/dental insurance forms
- Referral Slip
To ensure accurate diagnosis, it is very important that x-rays are recent (within six months). If you had x-rays taken with a previous dentist, you may request that they forward them to our office. If additional films seem necessary, they can be taken at our facility for a cost.
Pre-existing Medical Conditions
Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.) or require medication prior to dental cleanings (i.e antibiotics, for pre-med.)
Parent/Guardian Policy
All patients under the age of 18 at the time of the consultation must be accompanied by a parent or guardian.