Fresno Oral Maxillofacial Surgery & Dental Implant Center
Oral Surgery
Fresno, CA
559-226-2722
  • Home
  • Patient Information
    • Introduction
    • First Visit
    • Scheduling
    • Financial Policy
    • Insurance
    • Privacy Policy
    • Online Videos
    • Patient Registration
  • Procedures
    • Dental Implants
    • Bone Grafting
    • Teeth / 3rd Molar Extractions
    • Facial Fractures and Trauma
    • Orthognathic/Jaw Surgery
    • Oral Pathology
    • TMJ Disorders
    • Sleep Apnea
    • Cleft Lip & Palate
  • Meet Us
    • Meet Dr. Alexander
    • Meet Dr. Chien
    • Meet Dr. Karian
    • Meet Dr. Wiggins Jr.
    • Meet the Staff
    • Office Tour
  • Patient Instructions
    • Before Anesthesia
    • After Dental Implant Surgery
    • After 3rd Molar Extractions
    • After Exposure of an Impacted Tooth
    • After Tooth/Teeth Extractions
  • Referring Doctors
    • Referral Form
    • Study Clubs
      • Residency In Restorative Implant Dentistry
      • ITI Straumann Study Club
    • Links of Interest
  • Contact Us / Office Maps
    • Fresno Office
    • Madera Office

Patient Information

  • Introduction
  • First Visit
  • Scheduling
  • Financial Policy
  • Insurance
  • Privacy Policy
  • Online Videos
  • Patient Registration

Online Patient Registration

You may preregister with our office by taking our online patient interview. You will be presented with an interactive question and answer presentation that facilitates form completion. This narrated interview system enables a more accurate form completion process. This presentation will save you time! It eliminates the need for you to fill out traditonal healthcare forms in our office.

When you are ready to begin, click the "Register Online Now" button below. A simple question and answer process will commence. After you have completed the interview, the patient information collected is securely encrypted and sent to our office.

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 ~ Print Only!

Please click here to print out our online form. Remeber to bring this completed form in with you at the time of your appointment.  If you have any questions, please let our staff know!

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Address: 7025 North Maple Avenue, Suite 108 • Fresno, CA 93720 • Phone: 559-226-2722


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