New Patient Registration

You may download and start filling out our New Patient’s Form. After you have completed the form, please bring the form with you at your first visit or send this to [email protected]. On your first visit to our office, we will have your completed form available for your signature.

The security and privacy of our patients’ personal data is one of our primary concerns and we take every precaution to protect it.

Health History Update

For our current patients, please use the Healthy History Update Form to inform us of any health changes or new information. After you have completed the form, please bring the form with you in your next visit or send this to office @bapros.net. On your next visit to our office, we will have your updated form available for your signature.

Physician/Dentist Referral

This Referral Form is for use by the referring physician or dentist. You may print out a blank copy of this form and give it to your physician or dentist to fill out, or he or she can fill out this form. 

Downloadable Forms

New Patient Registration Form

Healthy History Update Form

Physician/Dentist Referral Form