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.

 
Please bring your Dental Insurance Card or Dental information with you to your appointment so we may file your insurance.
 
We are a PPO for Delta Dental Networks.
 

Please click here to read our Notice of Privacy Practices.
 

Technical Note

Our online forms use the Adobe Acrobat 5 Plugin to allow patients the convenience of completing their health history and registration forms from home or work. PleaseĀ download the free plugin from Adobe’s web site if it is not already installed on your system. It is important that you have at least version 5 of the plugin, in order to successfully use our forms.