Medical History | Oral Surgeons NYC
Before Your First Visit…
You may pre-register 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. This system is HIPAA-compliant.
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You Will Need the Following Items for Online Registration
- Your Insurance Card
- Your Social Security Number
- You Employment Information