Enter a Patient Health History
Please read the information below before proceeding.
Thank you for selecting us to provide dental care for your family. So that we may better serve you, please complete this questionnaire. Clicking the “Proceed” button below will deliver you to our secure server. 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 Another Patient’s Information” button to start a new patient form with the same address, billing, and insurance information.
Dental Information
Office Hours
| Monday | 8:00am - 5:00pm |
| Tuesday | 8:00am - 5:00pm |
| Wednesday | 8:00am - 5:00pm |
| Thursday | 7:00am - 2:00pm |
| Friday | 7:00am - 12:00pm |
CEREC Restorations
The world's first system for the fabrication of all-ceramic dental restorations in just one office visit.
Digital Radiography
Our use of digital x-ray technology reduces radiation exposure up to 90% and eliminates the use of chemicals. It's better for you. It's better for the environment.
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