Use Menu to access Registration form, a copy of our HIPPA notice, and a copy of our registration form in Spanish.
Open the form and print it. Fill it out and bring it with you to your appointment along with any pertinent medication information, health information, and insurance information...

Website policies and website privacy information can also be accessed through the Forms menu.
Keith P. Rojek DDS PC
Caring about you and your Oral Health.......

Forms

Website Builder