Our New Patient Registration Packet includes the following 4 forms. The forms can be filled in online and sent to us before your appointment, so you save some of your time.
For your convenience, we have 3 options that you can select from to fill these forms.
Option 1: Open the form in your internet browser (IE or Chrome), fill it online, print out the completed form, and bring it when you come for your appointment.
Option 2: Open the form in your browser, download, open it in Acrobat reader, fill in details, click submit by email and follow instructions.
Option 3: Open the form in your browser, download, open it in Acrobat Reader, fill it in, save, attach the saved document to an email and send it to us
If you have trouble viewing the forms, please download and install Adobe Acrobat Reader by clicking link https://get.adobe.com/reader/
For your convenience, we have 3 options that you can select from to fill these forms.
Option 1: Open the form in your internet browser (IE or Chrome), fill it online, print out the completed form, and bring it when you come for your appointment.
Option 2: Open the form in your browser, download, open it in Acrobat reader, fill in details, click submit by email and follow instructions.
Option 3: Open the form in your browser, download, open it in Acrobat Reader, fill it in, save, attach the saved document to an email and send it to us
If you have trouble viewing the forms, please download and install Adobe Acrobat Reader by clicking link https://get.adobe.com/reader/
TESTIMONIALS
Bingham-Lester Dentistry
Rating : 5 
~ Zuzu B.
I'm so grateful that my husband found the office of Dr. Bingham-Lester. Every personnel is professional and friendly. The office is super clean and very modern. Dr. Vickii is very nice sociable. Besides she is explaining the main points of procedure and tries to do every treatment or procedure as quick and painless as it is possible. Me and my husband are very pleased to be their patients
Review From Google