Patient Registration

WELCOME!

We can’t wait to meet you and help make the changes that bring out a smile everyone will talk about!

New Patients: Get started by filling out the medical forms before you arrive for your first appointment. Click on any of the forms below to start the New Patient Registration process. 

Fill-In-The-Blank Documents – ENGLISH:

• Adult Health History (Fill out with computer)

Fill-Out-By-Hand Version (PDF) – ENGLISH:

• Adult Health History – (Fill out by hand)
• Patient Consent Form
• Patient Record of Disclosures
• Agreement for Payment and Authorizations