Houston Texas Dental 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 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.

Patient Registration Form

Please fill out every section of this form, or the registration will not be completed. This includes all sections, not just the ones applicable to your registration. Upon successfully submission, a green checkmark will appear as confirmation.

We believe in giving each patient personal attention and helping them become educated about their condition and their options. We begin by listening carefully to your concerns, performing a comprehensive exam, and answering any questions you may have. We’ll take all the time you need to feel comfortable with our practice.

We respect our patients. We strive to cultivate mutual trust. Prior to beginning any treatment, we ensure that you understand your options and are making an informed decision.

Much of our business relies on word-of-mouth referrals. We appreciate the confidence you place in us when referring friends and family to our practice.
Again, thank you for choosing Oral and Maxillofacial Surgeons of Houston!
If you have any questions, please feel free to call us at (713) 464-2833.