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Dallas Center for Oral & Maxillofacial Surgery

Patient Forms

For your convenience, new patient forms are available online.


You may pre-register 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.

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.


Patient Feedback

We are here to help you achieve a healthier, more beautiful smile!