Patient Registration

Please click the following link to complete the EMMI multimedia consent program designated for your procedure after obtaining the individualized access code provided by our office:     myEMMI

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. 

On line preregistration will GREATLY expedite your appointment by not only allowing for you to be seen more quickly, but also allow for our administrative staff to determine insurance coverage in advance of your arrival.

Please be sure to bring all applicable information such as medical and dental insurance cards, medication lists, radio-graphs, CT scans, referral forms, etc. with you for your appointment.

Online registration is encouraged and will save a great deal of time!