Patient Registration
You may preregister with our office by filling out our secure online Patient Registration Forms. After you have completed these forms, 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.
Please select the following link for our registration forms:
2022 COVID Consent for Dental Treatment
Appointment Policy
Authorization Form HIPAA/Treatment/Financial
Health History
Insurance Info
Kiene Dental Group Office Policies
Patient Info
CONTACT US TODAY
The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. if you are an existing patient, this contact form should not be utilized for communicating private heath information. Privacy Policy
