• New Patient Offer

    Receive FREE Teeth Whitening
    (In-home) Custom Trays with
    New Patient Exam/Cleaning and Necessary X-rays.
    (value of $325.00)

    * Cannot be combined with other offers below


    Refer-a-Friend
    In appreciation of your referral, you will receive a $50.00 credit on your account and your friend will receive a $50.00 credit on their account!


    Simply complete the form below by the deadline to take advantage of either of our special offers.

    Offers Expire 12/18/2017


Patient Forms

For your convenience, we have supplied a New Patient Registration form in pdf format.  If you wish, click on the link below, print, complete the form at home, and bring it with you to your first visit!  We look forward to greeting you!

· New Patient Registration Form - Adults

· New Patient Registration Form - Children


 

 Adobe Acrobat Free Reader