Patient Registration

Thank you for choosing Edgewater Endodontics for your endodontic treatment needs.
For your convenience, please CLICK HERE to download our Medical History Form.
Please bring your completed Medical History Form to your scheduled appointment, as well as the following information:
  • Your referral slip and any X-rays if applicable.
  • A list of medications you are presently taking.
  • If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.
  • Your picture ID, such as driver’s license or state issued ID. 
If you would like additional information, please don’t hesitate to