Fair Lawn Periodontics & Dental Implants Online Patient Registration

Periodontics Patient Registration In Fair Lawn NJ

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. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

By filling out our patient registration form in advance, we are able to provide you with a faster and more convenient experience upon your first visit to our office. If you have any questions about the patient registration process, please call us at Jerald Rosenberg DMD Office Phone Number 201-794-0260.

First Visit

What Will Happen On My First Visit?

Please assist us at the time of your initial visit to the office by providing the following information:

• Your referral slip and x-rays from your referring dentist.
• A list of medications you are currently taking (please note that you can fill out your patient registration and medical history form on our website.)
• If you have dental insurance, please bring any forms or insurance cards with you to the appointment.

Please Note: All patients under 18 must be accompanied by a parent or guardian at the consultation appointment.

Please notify the office if you have a medical condition or concern prior to surgery (e.g. artificial heart valves or joints, heart murmurs requiring pre-medication, severe diabetes, or hypertension).

We will complete an in-depth medical and dental health history and a thorough examination to measure for bone loss, loose teeth, bite, oral cancer screening, TMJ, and other signs of periodontal disease.

New Patient Information

• Financial Policy
• Insurance & Payment Options Information
• Meet Dr. Rosenberg
• Meet Dr. Lazarus

Thank you for choosing Fair Lawn Periodontics & Dental Implants. We strive to deliver the best diagnosis and treatment that our practice has to offer. We believe that these goals can be met through a continuous and open dialogue between you and our entire team.