Online Patient Registration
- PLEASE REVIEW the technical notes below (scroll down) before proceeding to register with our office!
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
Technical Note:
If you are downloading adobe reader now, after you complete the install open the adobe reader on your computer. You will need to accept a adobe reader license agreement before you can use this application correctly!!
Mac Users
You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please
download the free plug-in from Adobe's web site.
You Must OPEN the Adobe Reader Application after installation and make Adobe Reader your DEFAULT SAFARI PLUGIN for Viewing PDF Files. Most MAC computers have their default application to open PDF files set to PREVIEW. These settings would need to be changed to make sure adobe reader is the default application to open any PDF files.
PC Users
Our online form uses the latest Adobe Acrobat Reader plug-in to conveniently submit the form from home or work. Please
download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at the latest version of the plug-in to successfully use our online form.
