Endodontic Associates, P.A.

Patient Forms


Completion of Registration Online


New patients are welcome to complete their registration prior to your visit using our secure online Registration Form. Once the form has been completed, please be sure to press the Submit button to automatically send us your information. Please be assured that every precaution has been taken to ensure that our patients’ private health information remains secure.

Secure Online Registration


Forms Available for Download


New patients are welcome to complete their registration prior to their visit by downloading our forms. You are welcome to print and complete the forms prior to your visit. Please remember to bring them with you to your appointment. If you are unable to download the forms, please plan to arrive 10-15 minutes prior to your appointment time to allow time to complete the forms in our office.

Portland Office

207-772-7431

Biddeford Office

207-282-4387

Auburn Office

207-784-5719

Brunswick Office

207-725-2034