New Dental Patient Registration We’re excited to meet your family and support your child’s dental journey. New Dentalgarten Patient RegistrationPlease confirm:* Yes, my child is not currently a Dentalgarten patient. No, we are returning patients with Dentalgarten.. *Important: This form is for New Dental Care patients only. For returning patients, you may CLICK HERE to book online, or contact Dentalgarten at hello@dentalgarten.com Thank you, Team KidcrewWho Is This Appointment For?Please select the option that best describes your child.If none of these apply, please reach out to our team before booking. We may not be the right fit at this time. My child is 0 to 5 years old My child is neurodivergent or has a disability My child is over 5 and struggling with cavities Your Contact InfoParent's Name* First Name Last Name Email*We will use this email to confirm your appointment. Phone*Please include your phone number, including area code.Your Child's InfoChild's Name* First name Last Name Child’s Date of BirthPlease Double-Check All Info Above (spelling, etc.)*Please double check all your info, this saves time and will speed up the registration process. YES, I Double Checked How Did You Hear About UsWe love knowing how Kidcrew families connect with us — every story helps. Kidcrew Google Search Google Reviews Social Media (Facebook / Instagram) Word of Mouth / Friend Referral Physician Referral Walk In / Urgent Care Visit (Optional) Additional NotesAnything else you'd like us to know?Confirm Your Request IMPORTANT: Please don’t close this window yet. Once you submit the form, you’ll be directed to Step 2 to book your child’s appointment. CAPTCHA
