619-334-8880 nng.xray@outlook.com

First-Time Patient Form


Please consider filling out our secure online Patient Registration Form before you come in for your initial consultation. If you have previously registered at our office, please feel free to complete this form if you need to update your information. This can save you time. Download the form by clicking on the following button:

Please reach out to our staff with any questions or concerns (619) 334-8880.

Click the blue button below to go to our secure encrypted registration form.

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 Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.