Patient Registration

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 Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. 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 FORM-SECURE HIPPA COMPLIANT <—CLICK HERE

Other Links of Interest

Are you ready to begin your dental health journey?

Give our Delray Beach office a call at Boca Jaw Surgery Phone Number 561-499-3331 to schedule a consultation with Dr. Katz or use our online contact request form.