01
Click Register Online
Opens the secure Denticon patient registration form in a new tab. No login required — just your name and contact details to start.
New Patients
Register online before your first visit.
Fill out our secure Denticon patient forms from your kitchen table — and skip the clipboard at the front desk.
Secure Patient Registration
Get a head start. Register online.
Our registration runs on Denticon — the same HIPAA-compliant practice management software our care team uses every day. The form covers the usual basics: contact info, medical history, current medications, and insurance. Most patients finish in 10–15 minutes.
Encrypted · HIPAA-compliant · opens in a new tab
How It Works
Three steps. Done before you arrive.
02
Fill out the forms
Contact info, medical history, current medications, insurance details. Most patients finish in 10–15 minutes. You can save your progress and come back to it.
03
Arrive and relax
When you walk in for your first visit, we already have your paperwork. We'll greet you and bring you straight back — no clipboards, no waiting-room writing.
Common questions
Do I have to register online?+
No. If you'd rather fill out paperwork at the office, just plan to arrive about 15 minutes before your appointment time and our front desk team will help you through it.
Is my information secure?+
Yes. The Denticon registration system is HIPAA-compliant and uses encrypted submission. Your medical information stays private and is only shared with your care team.
What if I don't have all my insurance details handy?+
Fill in what you have and we'll verify the rest when you call to confirm your appointment. Bring your insurance card to your first visit and we'll take a copy.
Can I register before scheduling an appointment?+
Yes — registering ahead of time is fine. But the fastest way to lock in a visit is to call us at 434-286-3326 or use online booking, and we'll guide you through whatever paperwork is needed.
Ready to get started?
The whole form takes about 10–15 minutes. You can save your progress and come back.
Register Online →