Oral Surgery Patient Registration
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please print off a copy of the completed form, as a backup, and then press the Submit button at the bottom to automatically send us your information. MAC computers and certain firewall settings can interfere with the submission process so please be sure to print and bring your hard copy. 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.
Technical Note:
Our online forms use the Adobe Acrobat 5 Plugin to allow patients the convenience of completing their health history and registration forms from home or work. Please download the free plugin from Adobe's web site if it is not already installed on your system. It is important that you have at least version 5 of the plugin, in order to successfully use our forms.