Patient Registration

Thank you for choosing Oral Surgery Associates of Eau Claire. In preparation for your upcoming appointment, we would like to assist in streamlining your registration process by offering an online registration.   You may preregister with our office by filling out our secure online Patient Registration Form

Upon completion of the Patient Registration Form, please click on the SUBMIT button. Your Patient Registration will be sent automatically and securely to the appropriate office. Any necessary signatures will be captured when you arrive for the appointment.  The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Things to bring:

  • your insurance cards (both medical and dental)
  • a valid picture I.D.
  • and any necessary referrals
  • x-rays

Please 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.

Privacy Forms:

Notice of Privacy Practices

Authorization to Disclose Form