Patient Registration

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. 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.

Please select the correct office below:

• Patient Registration – Bennington

• Patient Registration – Pittsfield Office

Additional resources are also available below.

New Patient Forms:

• New Patient Information
• Health History
• Payment Authorization
• Authorization to Discuss Healthcare

Additional Forms:

• Preoperative Anesthesia Instructions