Patient Registration

For Our New Patients, an easier way to get your paperwork done.

Just print all forms, fill them, and bring them to our office the day of your appointment.

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Wong and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

Patient Forms

HIPAA Privacy Act

Medical History Update


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.


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Office Location

  • Yuma
  • 2241 South Avenue A
  • Suite 7
  • Yuma, AZ
  • 85364
  • Map & Directions
  • Call: 928-783-0636