Welcome

Thank you for visiting the website of Dr. Betty Jo Hirschfield Louik. Our website provides important information that will help you become familiar with our practice. It also contains answers to frequently asked questions. Please feel free to call us anytime. We appreciate this opportunity to introduce ourselves and look forward to providing you with the utmost in dental health care.

Online Forms

You may preregister with our office by filling out our Patient Registration Form. After you have completed the form, please make sure to bring it with you on your next visit.

• Click here to download our Patient Registration Form

Technical Note:

PC Users
Our online form uses the latest Adobe Acrobat Reader plug-in to conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at the latest version of the plug-in to successfully use our online form.

Mac Users
You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please download the free plug-in from Adobe's web site. You Must OPEN the Adobe Reader Application after installation and make Adobe Reader your DEFAULT SAFARI PLUGIN for Viewing PDF Files.