The easiest way to complete your medical history is to click the link below. This will help make your first visit smoother.
We will ask that you update the medical history every six months to insure that your information is accurate.
Text Messages and E Mail
Our office uses both text messages and email to remind you of your child's appointment and to let you know if the office has to close unexpectedly due to snow or other unforeseen events.
It is thus very important that we always have your most current information and this includes any changes to your dental insurance.
The following form is available for secure online submission. Submitting your forms online will speed up your registration process in our office and reduce time spent in the waiting room.
After your form has been submitted, it will be processed by our office staff and ready for your signature when you arrive for your appointment.
» Pediatric Dentistry Patient Information Form