New Patient Forms


For your convenience, new patient forms are available online. Please complete and submit the forms at least 48 hours in advance of your first appointment to accelerate the check-in process. Allow 1 to 2 days for insurance verification.

Choose the form for the corresponding office you plan to visit.

Dallas – Walnut Hill Location

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 Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Online Referral Form

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

Plano – Willow Bend Location

New Patient Forms

Experience exemplary service and world-class care at Dallas Oral Surgery Associates. Call today to schedule an appointment with Dr. Sherry, Dr. Wallace, or Dr. Gannon at our Dallas or Plano office.