Patient Registration
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Click Here to view and print our online registration forms. You can bring this information with you at your first visit, mail, or fax this information to us at570-368-2926. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
- Click Here to view COVID-19 Emergency Dental Treatment Consent form.
Technical Note:
You need Adobe Acrobat Reader to view our form. Please download the freewww.acrobaticreader.com from adobe’sweb site if it is not already installed on your system.COVID-19 Emergency Treatment Consent (Generic)