Patient Registration

First-Time Patients

To save time during your initial consultation, we encourage you to complete our secure online Patient Registration Form prior to your visit. If you have registered with our office previously but need to update your information, please feel free to complete the form again. You can access and download the form by clicking on the following button:

Online Registration Form

After completing the form, please be sure to click on the “Complete and Send” button at the bottom to submit your information directly to our office. Your privacy and the security of your personal data are of utmost importance, and we have implemented all necessary measures to ensure that  your information is protected.

Please reach out to our staff with any questions or concerns Fletcher Hills Dental Implant & Oral Surgery Center Phone Number (619) 334-8880.