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New Patient Registration

New Patient Registration and Consent

Step 1: Enrollment Form

Step 2: Medical and Dental History if Required

PDF Forms

Questions Or Need Help Filling Out The Form? Contact Us Below.

Fax: (866) 815-3719

See What People Are Saying About Us

Enable Dental is easily accessible for homebound individuals. They respond quickly to concerns and are genuinely open to feedback. Enable Dental ensures vulnerable populations have access to much needed dental care.

Danielle G.
Family Member

We’re grateful to partner with Enable Dental, whose team truly understands the unique needs of older adults. They bring high-quality dental care right to our residents, which means fewer stressful offsite visits and better continuity of care. Their clinicians are patient, kind, and skilled at working with those who have mobility or memory challenges, and they’ve made a real difference in improving oral health in our communities.

Amanda Tweten, COO, Arrow Senior Living
Chief Operating Officer of Arrow Senior Living

Absolutely amazing!!! We have used their services twice and they are so good to my mother who has late stages Alzheimer’s. Definitely recommend!!

Jenna P.
Family Member

What a great team. Came to assist my bedridden wife who was in the pain. They were professional, friendly, and most important caring. They took great care of her and clearly explained everything to our daughter. I highly recommend Enable Dental.

Bill B.
Family Member

Dr. Pelkey and staff were professional, polite, knowledgeable, and efficient. The staff explained my dental procedure and care plan simply and thoroughly so I could understand and made a stressful time so much easier.

Linda Y.
Patient

Enable Dental has been such a breath of fresh air for our family. Our Mom is in a memory care facility and from start to finish, their team made the process smooth and stress free. They were thoughtful in reminding us about her appointment and kept me updated so I knew exactly when she was being seen. The dentist and hygienist were both wonderful, patient, professional and so kind with our mom.

They took their time, explained everything clearly, and treated her with the respect and care she deserves. You can tell they truly care about their patients, not just the procedure. On top of that, the customer service (Lizette & Michele) were excellent, warm, attentive, and very easy to work with. It gave me peace of mind knowing my mom was in such good hands. I can’t recommend Enable Dental highly enough for families looking for compassionate, reliable in home dental care.

Ian R.
Family Member

Very professional and knowledgeable, a real service to the community.

George C.
Patient

Friendly, caring service for those who are unable to drive or be taken to a dental appointment.

Alecia O.
Family Member

It was nice meeting you and Dr Jenna, Miguel and Anet today, an amazing group of people!
Everyone did their utmost to make my mother feel comfortable, she knew she was in good hands!
Thank you for going out of your way to ensure that everything went smoothly and with a smile!
Your positive energy and enthusiasm for what you all do, was evident today, as well as in the past, when I spoke with you on the phone.
Considering the time you are on the road, dealing with multiple family members, and facility staff, it’s obvious that you enjoy your job and are very good at it! We are grateful for having you work so hard to get Mom back on track! Looking forward to seeing you all on the next visit.

Susan, Lina and Linda
Family Members