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OnLine Registration Forms/Links

Click on the Link below to Access the OnLine Patient Registration

and Dental-Medical History Forms


These can be accessed and completed on your Phone, Tablet or PC via of an Internet connection.

Once you have completed the online patient registration form (either child/dependent or adult), please also complete the Dental/Medical History online form, then use the SUBMIT at the bottom of the both screens to send the forms to us.

Online Adult Patient Registration Form

Online Child/Dependent Patient Registration Form

Online Dental-Medical History Form

If you would like to download, print and then either FAX or bring the completed forms in at your appointed time - please Go Back to previous screen and select other options in forms.

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OUR LOCATION

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HOURS OF OPERATION

Find Out When We Are Open

Monday:

9:00 am-12:30 pm

2:00 pm-5:00 pm

Tuesday:

8:30 am-12:30 pm

2:00 pm-6:00 pm

Wednesday:

9:00 am-12:30 pm

2:00 pm-5:00 pm

Thursday:

8:30 am-12:30 pm

2:00 pm-5:00 pm

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed