New Patients

Patient Registration Form

Save time at your first visit — download and complete the fillable PDF form below before your appointment.

Get registration formNew patient info

How It Works

Four simple steps

01

Download & Open

Click the download button to save the PDF and open it in your preferred viewer.

02

Complete All Fields

Fill in all required fields directly in the PDF — most viewers support fillable forms.

03

Save Your Form

Save the completed PDF to your device so your information is preserved.

04

Submit

Email your completed form to singletondds@gmail.com or print and bring it to your appointment.

Download Form

Fillable PDF Form

New Patient Form

Includes registration, medical history, HIPAA consent, and office policies in a single fillable PDF.

Download New Patient Form

Prefer to fill it out in person?

No problem — please arrive 15–20 minutes early, and we'll be happy to provide the paperwork in the office.

Completing forms in person takes about 15–20 minutes

Ready to visit?

Schedule your appointment

We look forward to welcoming you. Book online or give us a call — our patient care specialists are happy to help.

Book your appointmentCall (734) 429-7415