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.
- Consent for Oral & Maxillofacial Surgery & Anesthesia
- Consent for Dental & Jaw Implants & Anesthesia
- Consent for Biopsy Procedure & Anesthesia
- Consent for TMJ Surgery or Arthrocentesis Procedure & Anesthesia for either
- Consent for Orthognathic Surgery & Anesthesia
- Consent for Apicoectomy & Anesthesia
- Consent for Frenectomy
- Consent for Exposure of Unerupted Teeth & Anesthesia
Ready to Schedule Your Appointment?
- Request an Appointment Online
- Review Payment Options and Insurance Info
- Get Directions to Our Office
If you have any questions please feel free to contact our friendly, caring staff at Chattanooga Office Phone Number (423) 893-3333.