Step 1 · Book Your Visit
Book Your First Appointment Online
New to Cville Dentist? Start by booking a time that works for you. Our online booking is available 24/7 and takes just a couple of minutes.
Book Online →Step 2 · After You Book
Complete Your Patient Paperwork
Once your appointment is booked, save time at the office by completing your health history, insurance, and HIPAA forms through our secure Denticon portal — the same HIPAA-compliant system we use to manage your chart. Everything you submit goes directly into our practice management system.
Fill Out Patient Forms →Opens in a new window at patientregistration.denticon.com
Step-by-Step Instructions
We recommend completing the Denticon paperwork on a computer or tablet rather than a phone — the forms are easier to read and the digital signature field is simpler to use. Here is what to expect:
- 1
Click the “Fill Out Patient Forms” link above
You will be taken to our secure Denticon patient portal. The URL starts with patientregistration.denticon.com — you should see a lock icon in your browser's address bar.
- 2
Enter your personal information
Name, date of birth, address, email, and emergency contact. If you are registering a child, enter the child's information — parent/guardian fields come next.
- 3
Provide insurance details
Upload a photo or enter the member ID, group number, and subscriber name from your dental insurance card. If you are self-pay, simply skip this section.
- 4
Complete your health history
Be thorough here — medications, allergies, recent surgeries, heart conditions, diabetes, and pregnancy all affect dental treatment planning.
- 5
Sign and submit
Type your name as a digital signature on the HIPAA and consent forms, then click submit. You will see a confirmation screen — you do not need to print anything.
Need Help?
If you run into any trouble — a form field that will not accept your input, a portal that times out, or a question you are not sure how to answer — give our Charlottesville front desk a call at 434-973-5873 during office hours (Monday–Thursday, 8 AM–5 PM). We are happy to walk you through it or complete the forms on paper when you arrive.