Patient Registration

The first step is to secure a referral from your general dentist and then call Harbor Light to schedule an appointment – (419)-517-2100.  The second step is to pre-register online by clicking the “Online Registration Form” link below.  You will minimize your wait time, 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 of the form to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it. (Note: When the form has been submitted correctly you will get a message that reads “Thank you for your online submission. Your information has been forwarded to our office.”)

May 10- 16th is Food Allergy Awareness Week!  To learn more check out:

Food Allergy Network
West Side Montessori

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