Oral Surgery Patient Registration
Forms for New Patients
Please see the patient registration/forms section of our website. You will be able to complete most of your registration forms on-line. All information is HIPPA/PHI protected and secured.
If you are unable to complete your registration forms on our website, you will be provided the forms on your first visit. The following forms are required to be completed:
a. Patient Demographic form
b. Patient privacy act form
c. Patient consent to photos form
d. Patient financial and assignment of benefits form.
e. Patient Health History form
f. Appropriate Informed Consent Forms and Anesthesia Forms.