Patient Information

Patient Resources

Our staff looks forward to meeting you and discussing your dental health goals. We strive to keep our appointments on time, as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so that you can accelerate your check-in process. Please download, print and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, then it is recommended that you arrive to your appointment between 15-30 minutes early so that you can have ample time to fill out the appropriate forms.

Bartlett Office

Patient Registration

Collierville Office

Patient Registration

East Memphis Office

Patient Registration

Kirby Office

Patient Registration

Note to Patient: Upon filling out your first name, last name, email and at least one phone number field (a valid home or cell phone) a button will appear in the upper right corner titled “Save and Exit”. This button allows you to save and exit your form to complete at a later date. The system will send a registration email to the email provided on the form, so that you may setup a login to go back and finalize your registration form online.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.