Patient Registration

Sigma Dental Specialists is committed to providing the highest quality endodontic therapy with your comfort in mind. We look forward to seeing you in our office.

Online 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.

English Forms

Note to Patient: Upon filling out your first name, last name, email and at least one phone number field (a valid home or cell phone) a button will appear in the upper right corner titled “Save and Exit” . This button allows you to save and exit your form to complete at a later date. The system will send a registration email to the email provided on the form, so that you may setup a login to go back and finalize your registration form online.

Spanish Forms

Nota al paciente: Al haber llenado su primer nombre, apellido, dirección de correo electrónico y por lo menos una sección de número telefónico (un número válido sea de hogar o de celular) un botón aparecerá en la esquina derecha superior con el título “Save and Exit“. Este botón le permite a usted salirse de la página y aun conservar su formulario para completarlo en una fecha posterior. El sistema enviara un correo electrónico de registración a la dirección de E-mail cuál usted haya proveído en el formulario para que pueda configurar una contraseña para regresar y finalizar su formulario de registración en linea.

Forms for download:

Alternatively, you may download the forms attached here and bring them with you to your first appointment.

• Patient Registration Form
• Financial Policy
• Notice of Privacy Practices Form
• HIPAA Consent Form
• Medical History Form

Scheduling

If you have an urgent need for endodontic therapy, we will see you as quickly as possible. Your care is of our utmost concern. We do need to respond to emergencies as they arise and therefore we occasionally have to interrupt our regular schedule.