Patient Registration, Peak Dental Arts

Dentist in Uniontown OH

Peak Dental Arts offers our patients the option of completing necessary forms in the convenience of their home or office prior to your scheduled visit with us.

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Patient Registration

Note to Patient: Upon filling out your first name, last name, email and at least one phone number field (a valid home or cell phone) a button will appear in the upper right corner titled “Save and Exit” . This button allows you to save and exit your form to complete at a later date. The system will send a registration email to the email provided on the form, so that you may setup a login to go back and finalize your registration form online.

Call Peak Dental Arts Phone Number 330-699-2154 or 330-882-6774 with any questions about completing our Online Registration Form.

  • If you do not already have AdobeReader┬« installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Email us your printed and completed form(s) or bring it with you to your appointment.