Online Patient Registration
You may preregister with our office by taking our online patient interview. You will be presented with an interactive question and answer presentation that facilitates form completion. This narrated interview system enables a more accurate form completion process. This presentation will save you time! It eliminates the need for you to fill out traditional health care forms in our office.
When you are ready to begin, click the "Register Online Now" button below. A simple question and answer process will commence. After you have completed the interview, the patient information collected is securely encrypted and sent to our office.
On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
Online Referral Form
You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.
Technical Note: *Once reviewed, scroll down to submit your referral!
Mac Users
CLICK HERE TO REVIEW STEP BY STEP INSTRUCTIONS
PC Users
Our online form uses the latest version of Adobe Acrobat Reader to conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at least version 9 of the plug-in to successfully use our online form.
Patient Information
Your time is important. By printing and completing registration forms prior to your first appointment, you’ll save time at your visit. If you have questions about anything on these forms, feel free to call our office for assistance.
Reserve Your Appointment
Whether you come to us for oral surgery on referral from your general dentist, or you would like to explore the possibility of dental implants, non-surgical cosmetic facial procedures, sleep apnea therapy, or TMJ dysfunction and headache relief, our doctors and team will be pleased to welcome you to our office. We will gain a comprehensive understanding of your oral health and history, as well as your concerns and goals, then provide the information and consultation you need to make wise decisions about the future of your oral health. Call today to reserve your initial consultation with Dr. Oneacre or Dr. Shillingburg.
