Patient Registration

NEW PATIENT PAPERWORK


New Patient Paperwork – Complete Online
New Patient Paperwork – Print
Please complete online or print and complete the new patient paperwork and bring with, along with your insurance card and government-issued ID, to your first visit with our office.

Authorization to Treat a Minor – Complete Online
Authorization to Treat a Minor – Print
If your child or children will be visiting our office without a parent or legal guardian present, please print and complete the above form.

TRANSFER YOUR RECORDS TO OR FROM OUR OFFICE


Transfer Your Records – Complete Online
Transfer Your Records – Print
Please complete online or print and complete this records release and submit to our office or your previous dental office to transfer your records.

FINANCIAL OPTIONS


Payment Options
Learn about the different payments options that are available to you for appointments that require a co-payment.

Discount Savings Plans
No insurance? No problem! We offer Discount Savings Plans to help patient without dental insurance depending on what your dental health needs are.

Lending Club
Learn more about Lending Club and how to apply by clicking the link above.

CareCredit
Learn more about CareCredit and how to apply by clicking the link above.