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Patient Registration

Registration forms are emailed to patients and filled out online through our secure website. Login information and access codes are included in the email. Please note that access codes expire 24 hours after the email is sent. If you need a new access code, please feel free to call our office. Our team is happy to assist you.


Completing your registration online should take approximately 10-15 minutes.


Registration through this process saves our patients time by eliminating lengthy paperwork at the time of treatment. Physical and electronic security measures assure the privacy of your personal data.

51745 Van Dyke Ave.
Shelby Township, MI 48316


Jay Lang, D.D.S., M.S. | Timothy Daws, D.D.S. | Lindsey LaLonde, D.D.S., M.S.
51745 Van Dyke Ave.
Shelby Township, MI 48316