New Patient Registration

The Online Registration feature is very convenient. Getting this process out of the way will save time during office visits, allowing your dental treatment to begin sooner. This is required before you can submit a Medical History.

Medical History​

This form puts an end to having to arrive earlier than your appointment time to fill out lengthy medical forms. You can take your time, and not feel rushed!

(note: this link will open a new browser window and take you to an external site called “MOGO Online Forms”)

Infant Frenectomy Medical History

Fill out this form before your consultation with Dr. EricaThis PDF form is fillable in your computer/laptop browser. However if you have any issue, you can always print it, fill it out, & bring it to your visit.

(Fillable forms work best on a Desktop computer. It may not be compatible with iPhone or Android phones.)

1 year & Older Frenectomy Medical History

Fill out this form before your consultation with Dr. EricaThis PDF form is fillable in your computer/laptop browser. However if you have any issue, you can always print it, fill it out, & bring it to your visit.

(Fillable forms work best on a Desktop computer. It may not be compatible with iPhone or Android phones.)