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Registration Form

Online Check-in

In order to make our new patients registration process faster and more comfortable, in order to move another step towards the “go-paperless” and “go-green” lifestyle and be a little bit of help in saving our environment, 123DENTAL is now featuring digital registration.

If you are a new patient to 123DENTAL, you need to check in; fill in, review and sign 

-        Patient confidential information form

-        Medical history form

-        Financial consent form

With this new feature you have the choice to check in via web, mobile or our in office tablet. You will sign electronically and done! This simple!


Do you like to learn more? Click here for a short tutorial video:

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