Patient Registration

The first step is to secure a referral from your general dentist and then call Harbor Light to schedule an appointment at Wauseon Office Phone Number 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 here.  

After you have completed the form, please make sure to press the Complete and Send button at the bottom of the form to automatically send us your information. (Note: When the form has been submitted correctly you will get a message that reads “Thank you for your submission. Your information has been forwarded to our office. If you have any questions or concerns please contact our office directly!”)

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

Online Registration Form