Patient Registration Forms

Save time on your next visit.

Complete your patient registration paperwork online, or print the form and bring it to your next appointment. If you have any questions, please call our office during regular business hours.

Submit your paperwork online

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If you have any trouble with the form above, please try one of these links instead:




What is “Adobe Sign®”?

Adobe Sign® is certified compliant with ISO 27001, SOC 2 Type 2, and PCI DSS. To learn more, please visit the Adobe Sign Trust Center, or visit the Adobe Sign FAQ page.

COVID-19 Update

Dear Patient,


We have been closely monitoring the COVID-19 situation from the various state and federal entities. In light of the most recent recommendations, Vive Dental has made the very difficult decision to close our operations till April 6th. Please allow us time to contact you if you had an appointment scheduled over the next couple of weeks in order to change your appointment time.


While we have never been through anything like this before, we are committed to moving forward with positivity and hope that “this too shall pass.” Keep smiling, stay positive and show kindness to one another as we navigate this storm together.


Thank you so much for your understanding and let's fight the COVID-19 together!

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