Patient Registration Form
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:
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: 404-351-5200
Dental Wellness Plan
$489 for 12 Months! Includes 2 Cleanings, Comprehensive Dental and
Periodontal Exam with X-rays, and 10% off applicable services.
Add an Additional Family Member for $479!
New Patient Referral Benefit
Receive a $25 account credit for new patient referrals!
Contact us for more details.
