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Online Patient Registration Forms

You can now request your next appointment online. 

Visit the Contact Us section of our web site and complete the Patient Registration Form.  The form is secure and our office will be notified once the form is complete.  When you walk in for your next appointment, we'll already  have the information entered into our computers.  We're always looking for ways to serve our patients better.

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In order to keep our patients safe and prevent the spread of COVID-19, our office is adhering to strict CDC/SCC guidelines, including: (1) Face Mask Requirement for all, (2) Temperature Checks upon entering, (3) Hand sanitizer/hand washing upon entering, (4) Social Distancing, (5) HEPA13-grade Air Purifiers every 200 sq ft, (6) Advanced UV Sanitization of frames, (7) Before and after sterilization of commonly touched surfaces/equipment, (8) Hand sanitizer or hand washing availability every 50 sq ft, (9) Weekly COVID-19 testing of all staff/doctors, (10) Building Capacity limitation