Patient Registration

Online Dental Patient Forms

Save time in the office and pre-register at home for your next dental appointment, using our secure patient portal and downloadable patient forms. For assistance, please call our helpful office staff in Florissant at The W Dental Group Phone Number 314-473-1109.

For dental emergency appointments during the COVID-19 restrictions, please download and complete our COVID-19 Pandemic Emergency Dental Treatment Consent Form.

If you are a Current Patient, please use the button below to log into your patient portal.

Patient Login

Printable New Patient Forms

Please print the forms below, fill them out as completely as possible, and to them bring to your appointment.

Technical Note

These forms are in PDF format. If you do not have Adobe Reader installed on your computer, you may download Acrobat Reader for free and use it to access these forms.