You may preregister with either Asrari Endodontics (Gilbert) or Precision Endodontics (Tempe) by filling out this 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. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
Note to Patient: Upon filling out your first name, last name, email and at least one phone number field (a valid home or cell phone) a button will appear in the upper right corner titled “Save and Exit“. This button allows you to save and exit your form to complete at a later date. The system will send a registration email to the email provided on the form, so that you may setup a login to go back and finalize your registration form online.
Do not print the forms. On your first visit we will have your completed forms available for your electronic signature.
Asrari Endodontics has been recognized as one of the top Endodontic practices in Arizona!
Asrari Endodontics and Precision Endodontics have been recognized for their efforts to keep patients safe during the coronavirus/COVID 19 pandemic by implementing touch-less registration and payment, having patients rinse with a disinfecting mouthwash before treatment, using a dental dam to isolate the tooth before treatment, introducing air purifiers to scrub harmful bacteria and viruses from the air, and disinfecting the treatment rooms with ultra violet light to kill airborne organisms or inactivate microorganisms on surfaces.