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Patient Registration

Save time at your appointment by completing your registration online. Our secure digital registration portal collects the health and insurance information we need so your visit with Dr. Michelle Kim runs smoothly from the moment you arrive.

Register Online Now

Complete your new patient registration forms before your visit. It only takes a few minutes.

Complete Registration Forms

What the Registration Covers

  • Patient Information: Basic contact details, emergency contact, and referral source
  • Medical History: Current medications, allergies, and health conditions that may affect your dental care
  • Dental History: Previous dental work, concerns, and treatment goals
  • Insurance Information: Dental insurance carrier, group number, and subscriber details
  • Consent and Privacy Forms: Treatment consent and HIPAA privacy acknowledgment

What to Bring to Your First Visit

  • Photo ID (driver’s license or state ID)
  • Dental insurance card
  • List of current medications and dosages
  • Any recent dental X-rays from a previous provider (we can request these on your behalf)

Insurance Verification

If you provide your insurance information during registration, our team will verify your benefits before your appointment so you know what to expect regarding coverage and out-of-pocket costs. Call 434-977-4101 with any questions about your insurance.

Transferring Your Records

Switching from another dentist? We make the transition easy. With your written authorization, we can request your dental records and X-rays from your previous provider. This helps Dr. Kim review your dental history and ensure continuity of care from day one.

Privacy and Security

Your personal and medical information is protected in accordance with HIPAA regulations. Our registration portal uses secure encryption to transmit patient data, and your information is never shared without your explicit consent.

Ready to get started? Complete your registration online or call 434-977-4101 and our team will guide you through the process.

Ready to schedule your appointment?

434-977-4101 Schedule Online

Your Smile, Our Commitment

Experience gentle, modern dental care in a warm and welcoming setting. We look forward to seeing you.

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