Patient Forms

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 Complete and Send button at the bottom to automatically send us your information. 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

Your Teeth Deserve Exceptional Care

Dr. Verrier-Davis and Dr. Davis are highly trained, experienced, and thoroughly equipped to manage the full range of issues relating to the teeth, mouth, and oro-facial regions. Contact us today!

Call us: 207-797-5000