Willis & Associates Family DentistryStuarts Draft

Forms online

Patient registration.

Save 15 minutes at the front desk by filling out your registration forms online. Everything is secure, and your hygienist will have your medical history ready when she greets you.

Our patient registration link takes you to the secure Denticon portal — the practice management system we use. You’ll fill out demographics, medical history, dental history, and insurance details. It takes about ten minutes, and you can save and return if life interrupts.

If you’d rather fill the forms out in person, that’s fine too. Just plan to arrive about 15 minutes early so you have time to do them at the front desk before your appointment.

Bring with you to the visit: your insurance card, a photo ID, a list of medications you take, and any recent dental records or X-rays from a previous dentist (if you have them — we can also request them on your behalf).

Questions about the form, or trouble accessing it? Call us at 540-414-8423 and we’ll walk you through it.

When to come in

Come see us if…

  • You’ve booked your first appointment and want to register beforehand.
  • You need to update your insurance or contact information.
  • You’d rather call in your information than fill out a form.

New Patients Welcome

Ready to plan your visit?

Whether it’s been six months or six years since your last appointment, you’re welcome here. Getting started takes just a few minutes — and we’ll meet you where you are.