Online Registration

Our Online Forms Offer the Convenience of Completing Your Health History and Registration from the Comfort of Home.


Once you have finished filling out your forms, please make sure to click the ‘Complete’ and ‘Send’ buttons at the bottom to automatically submit your information.

Select the office you plan to visit to get started:

Birmingham Office

Online Patient Registration

West Bloomfield Office

Online Patient Registration

Clinton Township Office

Online Patient Registration

Richmond Office

Online Patient Registration

American Medical Association
American Association of Oral and Maxillofacial Surgeons
American Dental Association
Michigan Dental Association