For Patients

Registration Form

Save time at your first visit by completing your registration form online beforehand.

Our registration form covers your contact information, health history, and insurance details. Completing it ahead of time means your visit can start with your consultation instead of paperwork.

Complete Registration Form

Please also bring the following with you to your visit:

  • Your referral to the oral surgeon
  • A list of medications you are presently taking
  • Your dental and medical insurance cards
  • A parent or guardian, if the patient is under 18
  • X-rays, if available — or have your dentist email them to info@vernonhillsoralsurgery.com

Questions Before Your Visit?

Our team is happy to help with forms, insurance, or anything else you need.