Registration Form

The Registration Form can be completed online and submitted electronically to us.

If you wish, you can download the form, print it and fill it manually. If you do print it, please remember to bring it in with you at the time of your appointment.

** PLEASE BE ADVISED **

THIS OFFICE DOES NOT WAIT FOR LEGAL CASES TO BE SETTLED FOR PAYMENT OF YOUR BILL - WE CONSIDERED YOU RESPONSIBLE FOR YOUR BILL.

Click here to download the Registration Form.

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