We are glad you have chosen to return to our office.  Because we are committed to your care, it is important that we keep an accurate account of your current medical history/conditions.  The attached form is a shortened version of the initial forms you filled out – which must be updated on a yearly basis.  Please fill out our secure online Update History Form.  After you have completed the form,  make sure to press the Submit button at the bottom to automatically send us your information. We will have your completed form available for your signature upon your arrival to our office.  The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Please note:  patients under the age of 18 years of age must be accompanied by a parent or legal  guardian at their appointment.

If you are returning to our office for a consultation regarding wisdom teeth or dental implants, we encourage you to watch our eleven minute online video regarding these procedures prior to your presentation to our office.  This will both expedite and better prepare you for your visit in our office.

As noted above, registration information must be updated yearly.  If it has been more than a year since you have visited our office, please complete the registration information in the prior tab. 

Patient Registration