Call Us At (973) 377-3131
131 Columbia Turnpike, Suite 2-c, Florham Park, NJ 07932

Patient Registration

The majority of patients come to us through referrals from their dentists or doctors. However, many patients do find us independently. In either case, we welcome you and look forward to helping you achieve optimal oral health. This process starts with learning a little more about you.

If you are referred to us by another dentist or doctor, we will gather some background information from them. At the same time, we ask for all patients to complete the Medical History Form below. Please take a minute to download, print and complete it before arriving for your first appointment. This information is very important to us and enables us to provide you with the highest level of safe and effective care.

If you have any questions while completing this form, please do not hesitate to give our office a call. Dr. Rynar and his team look forward to meeting you and to helping you.

Medical History Form