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Registration Forms - Existing Patients

These links are for existing patients. If you are not already a Patient but want to become a patient, please click on Patients at the top menu bar, then Registration Forms and select "I want to become a Patient' button to be taken to the new Patient forms.

Click on any of the links below to complete applicable form.

Formularios en Espanol

Forms in English

Dental Specific Forms

Other Forms

Carga de tarjeta(s) de seguro

Use este formulario para cargar tarjetas de seguro nuevas o actualizadas

Insurance Card(s) Upload

Use this form to upload new or updated insurance card(s)

Carga de identificación

Use este formulario para cargar una identificación nueva o actualizada

Identification Upload

Use this form to upload new or updated identification

AIA Physical Evaluation Packet

Patient Portal

HealthCare Support Portal Sign In

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