Patient Registration Form

Online Dental Forms Atlanta GA

Patient Registration | Dental Wellness Plan


☀ Patient Information and Medical History

You may preregister with our office by filling out our secure online Patient Registration Form. To do so please click on the link below to complete your forms:

Online Forms

Please arrive 30 minutes early for your first appointment to complete Registration

On your first visit to our office, we will have your form available for your signatures. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Please call our office with any questions: Moores Mill Dental Atlanta Office Phone Number 404-351-5200.


☀ Dental Wellness Plan

Moores Mill Dental‘s Dental Wellness Plan, our “in-house” dental plan, is a great option for our patients without traditional dental insurance. Please give our office a call for more information:Moores Mill Dental Atlanta Office Phone Number 404-351-5200.