Dental Patient Registration

best oral surgeon houston TXYou will need to 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.  Please read our privacy policy below.

Online Patient Registration

Regístrese en Línea Ahora

If you would like to fill out our form by hand please click here.

Acknowledgment and Release Forms

Authorization for Disclosure of Health Information

Acknowledgment of Receipt of Notice of Privacy Practices and Photo/Radiograph/Video Release

Experience Exceptional Service & Quality Oral Surgery Care.

Contact us with any questions or to schedule an appointment.

Call us: 713-457-6337