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 Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Online Patient Registration

TMJ/ TMD Questionnaire

Please fill this form out and bring it with you to your consultation if you are having your jaw joint evaluated.


Medical Appointment Authorization for a Minor

appointment authorization form

Medical Treatment Authorization for a Minor

treatment authorization form