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.
Please Note: Our online forms use the Adobe Acrobat Plugin to allow patients the convenience of completing their health history and registration forms from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at least version 5 of the plug-in, in order to successfully use our forms.
Click
here to download current HIPAA Form
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Click here to download current Patient Registration Form
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CONTACT INFO + MAP
115 West Main Street
Ste. 201
Boise, ID 83702-7303
Phone: 208.342.1551
Fax: 208.342.0819
Google Map Link
LINKS
American Association of Oral & Maxillofacial Surgeons
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American Journal of Oral and Maxillofacial Surgery
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DOWNLOADS
CONTACT FORM