New Patient Forms
Online Patient Registration
READ AND FOLLOW THESE IMPORTANT DIRECTIONS BEFORE PROCEEDING
1. CLICK, COMPLETE, and SIGN these forms before your appointment.
2. Be sure to press the SUBMIT button before closing the browser.
3. Please make sure to WAIT for the form to process submission before closing out. If you exit before the form is fully sent, we may not receive it.
Other Patient Forms
HIPAA Notice
The NJ Center for Oral Surgery maintains strict patient confidentiality and they are fully HIPPA compliant. All electronic medical records, personal and financial information is stored securely with multiple layers of protection. Your information is safely stored with redundant data backup systems and recovery software including secured off-site backup. All team members are trained on privacy rules and regulations.