New Patient Registration

Welcome! We are excited to have you as our newest patient at Falling Creek Dental and look forward to serving all of your dental needs. Please take a few minutes to register and provide us with your medical history: click here.

You will first be asked for your name and appointment date (give us a call if you don’t have one yet at: (801) 495-3567), and then will be directed to links for a registration and medical history form. Please fill both out to the best of your knowledge and submit them for Dr. Goeckeritz to review prior to your visit. See you soon!

Click here to register