Ireland-Mercho Dental

New Patient Forms

For your convenience, we have our new patient registration forms online. Fill them out and automatically submit them to Dr. Ireland’s and Dr. Mercho’s office:

Fill out the Patient Registration Form

Fill out the Patient Medical History

You may also download the forms and fill them out on your computer or by hand.

Please call if you have any questions.



Click on the form to download the PDF:


Dear Patients,
We are seeing non-emergent dental patients.

For more information on what to expect at your next appointment, please visit our updates page.

We look forward to seeing your smiles!

Dr Ireland and Dr Mercho