Patient Registration

We look forward to meeting you! To help expedite registration at your first visit, please bring the following to your appointment:

  • Photo ID
  • List of medications your are currently taking
  • Dental insurance card

If you are able, please print and complete the following forms prior to your appointment.

 Click here to open the patient registration form

 Click here to open the medical history form

Should you have any questions, please feel free to call us. Genoa Office Phone Number 815-784-5166