Online Patient Registration

If you would like to expedite the new patient registration process, we invite you to fill out all of our new patient forms below in advance to your first visit to our office.  

If you have any questions about any of the forms please call or email our office and the administrative staff would be happy to help you. 

New Patient Forms:

Please fill out all of the above five forms then scan and email them to the Hanna & Mazer Dental Group at info@hannaandmazer.com or just print them out and bring them with you to your initial consultation and this will decrease your wait time!