New Patient Registration
New Patient Registration
Complete Our General Dentistry New Patient Registration:
Complete Our Smile Questionnaire Online Today:
Please print these forms, fill out by hand and bring to your first appointment, or download the forms, fill them out online and email the completed forms to frontdesk@patriotfamilydental.com.
We accept most dental insurances. We are providers for Blue Cross Blue Shield along with some of the Federal plans, and providers for the Delta Dental insurances. Please be advised that these are all different types of insurance plans and not all plans under the same company offer the same coverage.
Forms you will need to print or download are linked below.
CONTACT INFORMATION
William Harris, DDS
OUR LOCATION