Online Forms

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.Save and Exit button

Note to Patient: Upon filling out your first name, last name, email and at least one phone number field (a valid home or cell phone) a button will appear in the upper right corner titled “Save and Exit“. This button allows you to save and exit your form to complete at a later date. The system will send a registration email to the email provided on the form, so that you may setup a login to go back and finalize your registration form online.

Patient Registration

When you visit our office, our team strives to provide you with a comfortable, streamlined experience. If you are interested in expediting your first appointment with our oral surgeons, we invite you to fill out our new patient forms before your visit to our office. Simply download the forms below, fill them out, and bring them with you to your appointment. If you would like assistance or if you have any questions about our surgical services, please contact us today. We are eager to hear from you soon!

A Better Life Starts With a Beautiful Smile

For more information or to schedule a consultation with Dr. Brown, Dr. Engebretsen or Dr. Kuhns, call our office in Port St. Lucie, FL!
Call us: 772-337-4798