Patient Registration

Hello! On your first visit, information will be collected in order to establish a diagnosis.  This will include reviewing your medical and dental histories, a visual examination of your oral tissues, and a radiographic examination if necessary.  We will discuss periodontal problems in general to familiarize you with the disease and its treatment.  I will then review my findings with you and we can discuss treatment alternatives.  An estimate of the case fee will be given, and methods of payment can be arranged.

Please click on each of the three following links, print out the forms, complete and sign, and bring them with you to your appointment. This will help us to better understand your dental needs.  If at any time you have questions regarding your treatment plan or our office procedures, please feel free to give us a call.  We are looking forward to meeting you!

Information about you

Your medical history, page 1

Your medical history, page 2; Dental history

Notice of Privacy Practices