PATIENT REGISTRATION

Pre-register with our office by filling out our secure online Patient Registration Form.

Pre-registering online provides us all the health and insurance information we need so you have a quick and easy appointment. After you have completed the form, please make sure to press the Complete and Send button at the bottom to submit the form.

If you have x-rays from you dental office, insurance cards or any other pertinent files, please attach them when prompted after hitting the submit button.

The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it. Read our privacy policy.

Omaha – Patient Registration

13215 Birch Drive (132nd & West Maple)
Dr. John Engel, Dr. Steve Coffey

Council Bluffs – Patient Registration

201 Ridge Street (The Doctors Building at Jennie Edmunson)
Dr. David Marshall, Dr. Teddy Schaefer

Fremont – Patient Registration

1437 East 23rd Street
Dr. Corey Auch

Papillion – Patient Registration

1502 So. Washington Street
Dr. Robert Pfeifle

Please contact us with any questions.

Serving Greater Omaha, Council Bluffs, Fremont and Papillion and surrounding communities

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