Patient Registration

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.

Patient Registration

You may also choose to print a blank copy of the Patient Registration Form and complete it manually in advance of your visit with our office. Please click here to print out a blank copy of this form

COVID-19 Update

Your health and well-being are our primary concern. As a matter of course, we practice Universal Precautions in our office, which is a set of infection prevention guidelines prescribed by OSHA. These precautions include hand washing before and after each patient contact, instrument sterilization, disinfection of all surfaces in our clinical areas, and the appropriate use and disposal of barrier equipment, such as gloves, masks and gowns. We also routinely disinfect non-treatment areas, such as our reception and front desk areas.

We plan to continue to serve the oral surgery needs of our community during the time of concern about COVID-19, we are currently limiting appointments to those with urgent needs.