Registration Form

To make our new patient registration process faster and more comfortable, to move another step towards the “go-paperless” and “go-green” lifestyle and help save 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 can check in via the web, mobile or our in-office tablet. You will sign electronically and be done! This simple!