Patient Registration Forms

New patients will need to complete a registration form prior to treatment.

You are able to download these forms below and complete them at home. Information can be entered into the forms directly when using a home computer and certain mobile devices.

You are welcome to fill the forms out at the office but please arrive at least 10 minutes early to your appointment to allow adequate time to do so.

We require 48 hours notice for any appointment changes. Our office will contact you an appointment reminder one week prior to treatment.

E-mail completed forms to info@islandrootsdental.com or bring them to your first appointment.
For those with dental insurance, please bring any relevant information / insurance cards to your first appointment.

Thank you!