Patient Registration Form  Please preregister by filling out our secure online Patient Registration Form. After you have completed the form, please press the Submit button to  send us your information. On your first visit, 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.  

As we use electronic medical records, please do not print forms.  If you are unable to sumbit your registration onine, arrive 10 minutes early to your appointment where we will have you complete your forms on a tablet computer.

 HIPPA  This form, Notice of Privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices

 Patient Survey   The doctors and staff at North County Oral & Facial Surgery Center continually strive to improve our services and quality of care to our patients. One of the ways you can help us improve is by providing feedback about the care you received while in our office. We take pride in our work, going beyond expectations to meet our patients’ needs and seek to continuously improve through teamwork and learning.  We invite you to complete our online patient survey so we continue to better serve you.

 Patient Records Request  This form may be submitted to request copies of your records at our office. Please specify which records you are requesting and where the records should be sent. Please provide a daytime phone number so we may confirm your request. Allow at least 5 days for records request to be processed.  

 Pre Operative Instructions 

 

 Post Operative Instructions