Please read the information below before proceeding.

We are always welcoming new patients to our practice.

Thank you for selecting us to provide dental care for your family. So that we may better serve you, please complete this questionnaire. The forms are protected with 128-bit encryption and all submitted information is confidential. Submitting Information for multiple patients: If you are submitting information for more than one person, please fill out a unique form for every new patient. Once you complete each form, click the “Submit” button to start a new patient form with the same address, billing, and insurance information.