For us to best serve you, we need to learn more about your medical and dental history. Our secure and HIPAA compliant online patient portal enables you to save time at your first visit by completing registration forms online. The portal is easy to use and works on a tablet, smartphone or computer.
Online Registration
Paper Registration Forms
If you prefer to print out our registration forms, we’ve enclosed links below. Please print and fill out each form. Once complete you may scan the forms and send them to info@mashapeltsdds.com. Having the forms prior to your appointment time enables us to enter all your information and verify any insurance benefits, which lets you be seen by the doctor sooner.
Registration Form
Medical History
Dental History
HIPAA Consent
