Patient Registration

We ask that you 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. By fully completing these forms prior to your arrival Oral Surgery Kansas staff will be able to expedite your clinical experience.

Registration Form:

Online Patient Registration