New Patient Registration InnovAge

New Patient Registration InnovAge

Please fill out this form if you are an InnovAge Member and would like to sign up for dental services with Enable Dental.

Printable/Downloadable New Patient Consent Form (must email or fax to us)

REGISTER ONLINE - INNOVAGE

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

Fax: (866) 815-3719