First VisitPlease assist us at the time of your initial visit to the office by providing the following information:
Please Note: All patients under 18 must be accompanied by a parent or guardian at the consultation appointment.Please notify the office if you have a medical condition or concern prior to surgery (e.g. artificial heart valves or joints, heart murmurs requiring premedication, severe diabetes, or hypertension.) If your referring dentist has taken x-rays, you may request that they be forwarded to us. Online Patient RegistrationYou may preregister with our office by taking our online patient interview. You will be presented with an interactive question and answer presentation that facilitates form completion. This narrated interview system enables a more accurate form completion process. This presentation will save you time! It eliminates the need for you to fill out traditonal healthcare forms in our office. When you are ready to begin, click the "Register Online Now" button below. A simple question and answer process will commence. After you have completed the interview, the patient information collected is securely encrypted and sent to our office.
On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it. |
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