Patient Registration

On the day of your appointment, we prefer to concentrate on your care and needs rather than paperwork. Please download, print, and fill out the forms below, and bring them with you on the day of your appointment.

patient registration

Patient Registration Forms

We look forward to meeting you!

Request An Appointment
  • This field is for validation purposes and should be left unchanged.
Dr. Barzgar is an excellent dentist

Dr. Barzgar was very professional and gentle. When I first came to his office to see Dr. Barzgar I had a major trust issue between dentist and patient from my past experiences. Dr. Barzgar is an excellent dentist, whose priority is making sure his...

L. Howard

Read More Testimonials »