Registration Information
Complete Your Personal & Medical History In Advance
Click here to complete registration information to expedite your treatment time.
Please contact our front desk at prior to completing this step.
Drivers License
A valid drivers license or state issued photo ID
Current Insurance Information
If you have dental insurance, your current dental insurance information will facilitate our ability estimate your out of pocket expense.
Current List of Medications
A current list of medications and supplements you are taking on a regular basis will allow us to safely provide your treatment.