Dental Patient Registration

You 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. 

trueform-reg-bttn-gold

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

Houston Oral Surgery Associates, PA

Para su conveniencia, puede descargar e imprimir su forma de registro y su forma de historial mèdico.

Release of Medical Information 

Authorization for Disclosure of Health Information