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Patient Registration

We want to ensure your appointment with us is as smooth and as convenient as possible. One way to streamline your appointment is by registering in advance and ensuring your paperwork is completed before you arrive at the office. You can register today by filling out the secure online form below. When you arrive for your appointment, we will have your paperwork printed off and ready for you to sign.

Click here to fill out your Patient Registration form

A Note to Patients

Be advised that dental insurance companies now require oral surgery patients to receive complete panorex images (that is, X-rays that capture the entirety of the mouth in a single image) when submitting a claim for payment. If you do not have a current panorex image, your insurance company reserves the right to deny your claim out of hand.

Should you choose to decline a panorex for any reason, we can collect fees in full, submit your claim, and then send you the payment if and when your insurance company reimburses us.

We want to ensure your experience with our practice is positive, and this encompasses any financing, payment, or insurance issues. Do not hesitate to contact us directly with questions or concerns.

Terms of Use

Please be aware that this is not a secure email network under HIPAA guidelines. Do not submit any personal or private information unless you are authorized and have voluntarily consented to do so. We are not liable for any HIPAA violations. Understand that if you email us, you are agreeing to the use of an unsecured method and understand that all replies will be sent in the same fashion, which you are hereby authorizing.


By checking this box you hereby agree to hold “Ridge Oral Surgery”, including it’s doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties. By checking this box, you also agree to receive email communication from  “Ridge Oral Surgery”, including its doctors and affiliates.