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.

Technical Note:

PC Users
Our online form uses the latest version of Adobe Acrobat Reader to conveniently submit the form from home or work. Please download the free plug-in from Adobes web site if it is not already installed on your system. It is important that you have at least version 9 of the plug-in to successfully use our online form.

Mac Users
You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please download the free plug-in from Adobes web site.

Patient Forms

Testimonials

"Thank you very much for taking care of my root canal. I was certainly nervous about the procedure. But you and your staff were calm, reassuring and predictive. The process went exactly as you described. I went from a mouth of pain to calm. You are certainly an expert and I am glad to have had a chance to be under your care."

"I am grateful and appreciative."
Regards,
Michael S.
"Sincere thanks for fitting me into your schedule and doing the root canal. I appreciated it very much"
Sincerely
Pat Z.
"I appreciate the prompt and professional service of you and your staff. You have a cheerful and patient focused staff and a very comfortable office."
Thank-you
Herb M.
"Just a note to express my gratitude to you for your professional services extended to me. What impressed me was the way you worked me into do the root canal….I was in great pain and you and your staff were marvelous from the moment I arrived at your office. You made it possible for me to experience no pain and very little discomfort. In a day when very few people express gratitude I don’t want to be in that group….so this note comes to thank you and your staff."
Robert B.
"The circumstances for which I came to your office were unfortunate, however, the hands I had been placed in were ones I knew I could trust; gentle and competent. You even kept all your tools of your trade out of my view while you worked. I am sure that what you do you could do in your sleep – thanks for not nodding off on me."
Sincerely,
Paige R.
"You and your staff are great"
Thank you
Jane V.
"I wanted to thank you for fitting, me into your busy schedule. You and your staff couldn’t have been more kind or helpful to me, especially considering how much pain I was in. Your kindness to a stranger, only there for a couple of days, will be remembered"
Thank you,
Melanie H.
"Thank you for taking our family member on an emergency root canal basis. You had been highly recommended to us. It was an excellent job with excellent results. Thank you for your kindness and your understanding of our situation. God bless you, your staff, and your family."
John M. Family
"Thank you for your excellent work on my root canal, and to your fine staff as well"
Anthony M.
"Just had to thank you for your wonderful care – You’re wonderful and I appreciate you so much. Thank your wonderful staff also"
Elaine R.
"Many thanks to you and your staff for the excellent care provided in resolving my root canal problems! You are a gifted dentist with excellent skills. Thanks for all you do for your patients who depend on you!"
Best wishes,
Jon V.
"I am so grateful for your kind consideration and effort to make the time for my recent, emergency root canal. Thank you so much as we left for Europe and I was pain-free! You are true examples of “dedicated” professionals."
Sincerely,
Bonnie G.
"I just wanted to say thank you for the wonderful treatment I received during my root canal procedure. I can finally eat and drink "cold" once again. Thank you ever so much for your expertise and professionalism along with your warmth and kindness. If and when I need an endodontist again there is no doubt who I will choose. Most of all thank you for finding the problem tooth initially. I am most grateful."
Sincerely,
Virginia A.
"I thought your service was exceptional. You handled my problem in a professional and courteous manner, and your staff was most accommodating. Thank you for your help in alleviating my problem. I will certainly recommend you to others in need of root canal service."
Thomas G.

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