Online Registration Forms

  • Vinita, OK - 120 Ste. A W. Delaware Ave 74301
  • Miami, OK - 1306 N. Main St 74354
  • 918-256-6831 | Vinita, OK - 120 Ste. A W. Delaware Ave
  • 918-542-2858 | Miami, OK - 1306 N. Main St

Patient Registration--using Dentrix or Truforms (subscription)

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. 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.

Dental Health

Let our dedicated dental professionals help you achieve a smile that you can be proud of!



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