Patient Registration
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Save Time Before Your First Visit
Welcome to Wallan Dental! We know your time is valuable. To make your first appointment as smooth and efficient as possible, we kindly ask all new patients to complete our Patient Registration Form before arriving.
Filling out the form now allows our team to securely review your medical history, dental history, and contact information in advance. This means we can focus immediately on your care and oral health needs when you step into our practice.
Get form
Complete Your New Patient Form
We offer two easy, convenient options for completing your registration paperwork:
1. Complete Our Secure Online Form (Recommended)
Filling this out online is the fastest way to register and submit your information directly to our secure system. You can complete this form on any device at your convenience.
2. Download and Print the PDF Form
If you prefer to fill out the form manually, you can download a printable PDF copy. Please print it, complete all sections, and bring it with you to your first appointment.
Why Choose Wallan Dental?
We strive to make every aspect of your experience, even the paperwork, simple and stress-free.
- Efficiency and Speed: Completing your patient registration online saves you up to 15 minutes in the waiting room, ensuring your appointment starts on time.
- Focus on Health: Having your detailed history prepared allows our team to focus the consultation immediately on your specific health concerns and goals.
- Secure and Private: We use secure, encrypted systems for all online submissions, protecting your sensitive personal and medical data.
- Family Convenience: Our streamlined process is perfect for families, allowing you to easily complete forms for multiple children or dependents from the comfort of your home.
our team
Meet Our Team
From our administrative staff who process your registration to the clinical team who review your medical details, everyone at Wallan Dental works together to ensure accurate, informed, and personalized care from your very first interaction.
Dr. Gagan Hira
BDSc (Principal Dentist)
Dr. Raman Bhinder
BDSc (Invisalign Specialist)
Dr. Prashanth Tatagari
B.D.S, MPH
Alison Vince
Dental Hygienist
Dr. Gagan Hira
BDS (Principal Dentist)
Dr. Raman
BDS (Dentist)
Dr. Prashanth
BDS, MPH (Dentist)
Nadine
AdvDipOH (Dental Hygienist)
Liana
Dental Hygienist
Alison
AdvDipOH (Dental Hygienist)
Noor
Dental Hygienist & Oral Health Therapist
Smart Payment Choices
Payment Options and Transparency
We believe that transparency about costs is a vital part of patient care. Once your registration is complete, we can easily check your Private Health Insurance eligibility and discuss financing options for any necessary treatment identified during your first visit.
Ready to start your journey to a healthier smile?
Complete your registration today and look forward to a seamless first visit!