Online Patient Registration
We look forward to meeting you and welcoming you to our family. You may preregister with our office by filling out our secure, online Patient Registration forms. After you have completed the forms, 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. Please call us in Prescott if you have any questions: Advanced Dental Center Phone Number 928-778-0970.