Patient Registration

Schedule an Appointment

Lakeside Dental strives to offer you the convenience you want and deserve from your dentist.  To save you time at our office and speed up your registration process, we ask that you complete your registration forms online and submit via a secure connection.  Simply click on the links below and complete.

Once you have entered the information, please press the Submit button at the bottom of the form and wait for the message to appear on your screen that reads “Your forms have been successfully submitted”.

Technical Notes:  Currently, these forms are not compatible with Apple-Mac/Safari or Google Chrome when submitting online.  If you do not have access to a PC with Internet Explorer or Firefox, or if you do not receive a message that your forms were successfully submitted, you may print out your completed forms and bring with you to your appointment. 

The security and privacy of your dental health information is one of our highest concerns and we have taken every precaution to protect it.

Financial Policies

HIPAA Privacy Statement