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Patient Registration | Dearborn MI

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.

Click here to view our Notice of Privacy Practices

Online Registration Form button

Please call our Dearborn, MI office at Gary C. Veraghen, DDS, Dearborn Phone Number 313-563-5855 with any questions or to schedule your appointment with Dr. Veraghen today!