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 Form

Tips for ‘Cavity’ prevention

  • Limit frequency of meals and snacks.
  • Encourage brushing, flossing and rinsing.
  • Watch what your child drinks.
  • Avoid giving your child sticky foods.
  • Make treats part of meals.
  • Choose nutritious snacks.

Factors affecting gum health

  • Smoking
  • Diabetes
  • Stress
  • Clenching and grinding teeth
  • Medication
  • Poor nutrition

At BDA

We strive for to make our patients part of our family!

Request an Appointment Now!