New Patient Forms

Patient Registration

Download and complete your new patient forms before your first visit. This helps us prepare for your appointment and gets you into the chair faster.

How It Works

Complete your registration in three simple steps

1

Download the Forms

Click the button below or use the embedded viewer to download our new patient registration packet.

2

Print & Complete

Print the forms and fill them out at home before your appointment. This saves time at check-in.

3

Bring to Your Visit

Bring the completed forms along with your photo ID and insurance card to your first appointment.

View & Download Forms

Preview the forms below or download the PDF to print and complete at home.

Download PDF
New Patient Registration Forms· 4 pages
Download

New Patient Registration Packet

Tap below to open or download the patient registration forms (4 pages, PDF).

What to Bring to Your First Visit

Having these items ready will help us get you checked in quickly and comfortably.

  • Completed patient registration forms (downloaded below)
  • Photo ID (driver's license or state ID)
  • Dental and/or medical insurance cards
  • Referral letter or imaging from your dentist (if applicable)
  • List of current medications
  • Parent or legal guardian (if patient is under 18)

Office Information

Address
280 W. River Park Dr., Ste. 360
Provo, UT 84604
Office Hours
Mon: 9:00am – 4:00pm
Tue: 8:30am – 4:30pm
Wed: 7:30am – 4:00pm
Thu: 8:30am – 4:30pm
Fri: 7:30am – 4:00pm

Ready to Schedule?

Our team is here to help you feel comfortable and prepared. Call us to schedule your consultation or request an appointment online.