Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Patient Registration

On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

If you have any questions, please call the office:

Greensboro Greensboro Office Phone Number Greensboro Office Phone Number 336-288-0010 • High Point High Point Office Phone Number High Point Office Phone Number 336-889-5656 • Asheboro Sheboro Office Phone Number Asheboro Office Phone Number 336-629-1444 • Kernersville Kernersville Office Phone Number Kernersville Office Phone Number 336-423-5075.