Patient Registration

The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Patient Portal

You may preregister with our office by logging into your online portal and filling out our Patient Registration Form. This portal is initially accessed via a secure link sent through your email. Please contact the office for the link, 907.586.9586. If you have already created a password for the portal, it can be accessed at www.southeastdentalgroup.curveconnex.com/login.

Traditional Paperwork in Hard Copy Format

If you do not have email or are unable to access the portal, you can download a copy of our paperwork here. Please print, fill out, and either scan and email or fax back to our office. Our email address is [email protected] and our fax number is 907-586-9484.