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 Submit button at the bottom to automatically send us your information. 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.

Orange County Centers for Oral Surgery & Dental Implants Registeration Form

*HIPAA Privacy Act: The security and privacy of your personal data is one of our top priorities. We take every precaution for your protection.

Patients may also choose to complete the registration form and bring it to the office instead of registering online. If this is the case, you will still save time during the registration process on the day of your appointment.

Appointment Arrival Time:

  • 15 minutes prior to appointment – patients who have pre-registered online or have pre-completed forms
  • 30 minutes prior to appointment – patients who are completing registration forms the day of appointment

Please bring the following items to your appointment:

  • Photo ID
  • List of Medications
  • Dental or Medical Insurance Card

We welcome you to contact our offices if you have any questions or requests.

Excellence Defined

  • Board Certified
  • Hospital Affiliations
  • State-of-the-Art Technology
  • Four convenient locations
  • 60 Years of Combined Experience