Online Patient Registration

New Patient Forms

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

Patient Registration for Timothy C. Lang, DDS, MD, PhD


Indian Harbour Beach Office Phone Number (321) 777-2166 Contact Info / MAP Email Us Office Hours