Patient Registration

Thank you for choosing Oral and Maxillofacial Surgery Associates. In preparation for your upcoming appointment, we would like to assist in streamlining your registration process by offering online registration.   You may preregister with our office by filling out our secure online forms below: 

Patient Registration, Health Questionnaire, & Financial Policy  Medical Release Authorization

Upon completion of the Patient Registration Form, please click on the COMPLETE AND SEND button. Your Patient Registration will be sent automatically and securely to the appropriate office. 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 current medical and dental insurance cards or all of your current insurance information so that we can process your claim in a timely manner.  
  • A current list of all medications you are presently taking.  
  • Required payment.  
  • Pre-Registration forms if you completed the forms mailed to you, rather than the online registration.