New Patient Registration Form
For your convenience you may complete this form online, save and email it to firstname.lastname@example.org.
Or you may print out the document, complete it, and submit to our office via fax 770.569.1392 or during your initial visit.
If you have any questions please do not hesitate to call our office 770.569.1350.
Complete the Registration form Online and email to Parsons Pointe Dental Care.
(Completing the form online requires Adobe Reader. Download the latest version for free)
Did you know our office is pleased to offer
early morning and evening appointments for your convenience?
After hours care is available only for patients of record. Emergency contact information can be obtained by calling our office phone number 770.569.1350.