Thank you for taking the time to complete our New Patient Registration forms. You now have the ability to fill out our forms online ! You can either fill them out electronically and print them out, or you can email the completed form to us.  Please email the completed forms to dryi@dryidmd.com.

If you decide to print them out, please remember to bring your completed forms with you for your first appointment. If you have any problems getting these files to print properly, please call our office and we will gladly send or fax them to you.

We hope you find this time-saving service valuable.

Complete the forms Online!!!

New Patient Form

New  Health History Form

New Informed Consent Form

HIPAA Policy & Forms

Download Adobe Acrobat Reader Now

Payment Options

In order to provide the highest quality care on a sound basis, we have developed a full range of convenient payment options for you to chose from. Prior to the commencement of treatment, fees and financial arrangements will be discussed with you. These arrangements can be coordinated with any dental insurance benefits. We accept all traditional indemnity insurance plans. We do not participate in any DMO/HMO plans. We accept all major credit cards and also offer outside financing for extensive treatment.