Scheduling
:: Appointment Express

If
you have been referred by your dentist
for the extraction of teeth you may
be able to schedule your extraction
without a consultation appointment.
This will save you the extra time
of having to wait for a consultation
appointment and the time between
your consultation and the extraction
appointment. There are two things
we will need in order to schedule
your surgery.
1. A referral from your
dentist and the radiograph if your
dentist
is providing the x-ray. If your
dentist does not have adequate
radiographs they can be taken at
our office but this may require
a separate visit to the office
prior to your surgery.
2.Completed
pre-registration forms (HIPPA Consent,
Insurance and Demographic
information, Health History). These
forms can be completed online and
submitted instantly to our office
by clicking
here. Please call our
office if you have any difficulty
with online registration. If you
prefer, you may print out and complete
the
forms and either bring them
to our office or send them by US
Mail. Please do not hesitate to
contact us with any questions in
this process.
If you have
not scheduled your
appointment prior to submitting
the above information, please contact
our office at 419-473-2707.