Patient Registration

doctor holding a clipboard

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.


Important Insurance Information

Notice of Privacy Practices

Call our office at Keith + Associates Dentistry Phone Number 913-384-0044 with questions and to schedule an appointment.