Online Registration

Instructions and FAQ

 

Instructions

The "Online Registration Form" button at the bottom of this page will take you to our secure online registration form.

To complete online registration, you will need the following:

Patient Information

Insurance Details

Electronic Copy of Insurance Card for Upload (see below)

Contact information for Other Doctors / Dentists Involved in Your Care

Health History

*If the patient is under 18, we will also need information about the person responsible for paying the bill.

 

Frequently Asked Questions (FAQ)

How do I upload a copy of my insurance card or other document?

At the end of the registration form, AFTER you click submit, you will see the pop-up window below. Clicking the link indicated below will allow you to upload a copy of your insurance card.

The easiest way to create an electronic copy of your insurance card is with a smart phone. Just take a picture of your insurance card and email it to yourself.

You'll then have a ".JPG" file that you can save and upload when needed.

There are many other ways to do this too. One popular way is to use a scanner. Many drugstores and office supply stores offer document scanning and can help, if you need it. The only restrictions are that the total size of all uploads is less than 60MB and the filetypes are graphical (GIF, JPG, TIFF, TIF, PDF, DEX) or Microsoft Word (DOC/DOCX)

 

What if I already have x-rays?

X-Rays should be no more than 12 months old.

If you have a hard copy X-Ray please bring it to your consultation appointment.

 

Do I need to bring study models to my jaw surgery consultation appointment?

Yes! Please bring your study models to your consultation appointment.

 

Can I mail my Study models?

No, it’s best not to mail study models. Please bring them with you to your consultation appointment.