Welcome to Spokane Oral & Maxillofacial Surgery!  You can save up to 25 minutes in our office by filing out your patient registration and health history forms from the convenience of your own home with 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. Please allow up to 20 seconds for secure submitting of your completed form. 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 take every precaution to protect you.

                                                        Click Here to register online.

Technical Note:

PC Users

Our online form uses the latest version of Adobe Acrobat Reader to conveniently submit the form 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 the latest version of Adobe Acrobat Reader to successfully use our online form.

Mac Users

You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please download the free plug-in from Adobe's web site.