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.

Please Note:  Our online forms use the Adobe Acrobat 5 Plugin to allow patients the convenience of completing their health history and registration forms from home or work.

Please download the free plugin 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 plugin, in order to successfully use our forms.