We value your time. In order to assure that your first visit with Dr. Becker is efficient and thorough, we ask that you mail to us in advance your documentation (Adults: Registration Form, Medical/Dental Form, and Smile Analysis; Children: Child’s Dental Form and Smile Analysis.) This will enable Dr. Becker to review your history prior to meeting with him. If time does not enable you to do so, please bring the appropriate documentation with you at your first visit. Click on the appropriate link below to print a copy of the document.

Adult Registration Form
Adult Medical - Dental History
Child's Dental Form (For Ages 0-18)
Smile Evaluation
Dental Care Hints