New Patient Registration

We’re thrilled that you’ll be visiting us! Speed up check in for your initial appointment, and preregister with our office by completing our secure online Patient Registration Form and click the “submit” button so send your information to us in advance. These forms will be securely shared with Pine Lake Family Dental staff and with Dr. Chen. On your first visit,  you’ll be asked to give the forms a quick review in our office and provide a signature. That’s it! Quick and easy!

The security and privacy of your personal data is one of our primary concerns, and we have taken every precaution to protect it. Any information you provide on these forms is strictly confidential.