Save time by printing our Registration/Health History form and filling it out at home, or by using the online form below to submit electronically. Your information is HIPAA protected and securely transferred.

New Patient Health History Form Download

If you have a dental emergency outside of business hours, please leave us a message at 724 728 0970 and someone will return your call as soon as possible. If you need immediate assistance, please contact your local medical center.

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