Patient Registration

Your registration is straightforward — complete it at home, online, or right here in our office. Whatever is easiest for you.

Getting started as a new patient here is simple — we have kept it that way on purpose. You can fill out your forms online before your visit, print them and complete them at home, or just arrive a few minutes early and we will walk you through everything in person at our East Main Street office.

How to Register

1

Reach Out to Us

Call 540-586-8080 or send a message through our site. Just let us know you are a new patient and we will find a time that works for you.

2

Fill Out Your Forms

Complete your new patient forms online ahead of time, print them at home, or fill them out in our office — whichever you prefer.

3

Bring a Few Things

Your photo ID, insurance card (if you have one), and a list of any medications. We take care of everything else.

Registration Forms

You can save yourself some time in the waiting room by completing these forms before your visit. Each one is short and straightforward:

New Patient Information Form
Available at office
Medical & Dental History
Available at office
Insurance Information
Available at office
HIPAA Privacy Authorization
Available at office
Consent for Treatment
Available at office

Did Not Get to the Forms? No Worries.

Just arrive about 15 minutes before your appointment and we will have everything ready for you. Our front desk team will walk you through it — it is quick and easy.

Blue Ridge mountain fog

Ready When You Are

Come in and see
if we're the right fit.

No pressure, no pushy sales — just a conversation, a thorough exam, and a clear picture of where your smile stands. We would love to meet you.