New Patient Registration

Most new patients prefer to provide registration information online in the convenience of their own home. For your convenience and to expedite your appointment, we encourage you to use the following digital form that is digitally signable, secure, and HIPAA compliant.

New Patient Information Form
This form is securely transmitted via an encrypted connection to https://patientprism.com which is an SSL secured and HIPAA compliant form solution.

If you prefer to fill out new patient information while you are in our office, please arrive a full 30 minutes prior to your appointment. Bring a list of the prescription drugs you are currently taking, your dental insurance benefits information card, emergency contact information, and notes about your medical and dental history. If you have any questions, please do not hesitate to call our office.