Online Forms

Welcome to Oral & Maxillofacial Surgery Center of Oregon

At your initial visit to our office, pertinent information such as your demographics and your health history will be required to be completed on our office forms. Should you wish to minimize your time at your appointment, feel free to complete these forms and either bring to your appointment or send directly to us and we would be happy to retain the completed forms till your appointment. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it. Should you have any questions regarding these forms, you may contact any of our staff.

Online Registration Form

Technical Note:

You need Adobe Acrobat Reader to view our form. Please download the free Acrobat Reader from Adobe’s web site if it is not already installed on your system. In addition, we do not recommend using Firefox as your web browser, for compatibility purposes.