NEW PATIENTS

Thank you for considering Lopez Dental. We look forward to meeting you and becoming part of your dental health team. 

We accept most major insurance companies and major credit cards. Our insurance coordinators have over 20 years experience coordinating your care and staying current with the latest changes in coverage. Please contact our office if you would like information regarding your specific carrier.

To expedite your registration process, please print the Patient Registration Forms below, fill them out, and bring them in on your first visit.

PATIENT REGISTRATION FORMS 
Right click and SAVE LINK AS (Windows) or DOWNLOAD LINKED FILE (Mac).

New Patient Information Form

Notice of Privacy Form

Consent for Disclosure Form