Oral & Maxillofacial Surgery Associates, P.C.
Oral Surgery
 
(260) 423-2340
  • Home
  • Patient Information
    • First Visit
    • Scheduling
    • Financial And Insurance Information
    • Privacy Policy
    • Online Videos
    • Patient Registration
    • Patient Payments
  • Procedures
    • Dental Implants
    • Bone Grafting
    • Wisdom Teeth
    • Facial Trauma
    • Jaw Surgery
    • Distraction Osteogenesis
    • Oral Pathology
    • TMJ Disorders
    • Cleft Lip & Palate
  • Meet Us
    • Dr. Steven J. Butler
    • Dr. Timothy J. Frey
    • Dr. Steven R. Schimmele
    • Dr. Timothy J. Shambaugh
    • Dr. Michael J. Stronczek
    • Dr. J. Terrence O'Neill
  • Surgical Instructions
    • Pre-Operative
    • Post-Operative
    • Common Post-Op Problems
  • Referring Doctors
    • Referral Form
    • Fort Study Club
    • Links of Interest
    • Presentations
  • Contact Us
    • East State Boulevard Fort Wayne
    • West Jefferson Boulevard Fort Wayne
    • Dupont Circle Court Fort Wayne
    • Medical Park Drive Fort Wayne
    • East Center Street Warsaw
    • Westwood Drive Van Wert OH
  • Employee Info
    • Staff Schedule

Patient Information

  • First Visit
  • Scheduling
  • Financial And Insurance Information
  • Privacy Policy
  • Online Videos
  • Patient Registration
  • Patient Payments

Patient Registration

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.

  • Authorization to Release Patient Information Form
  • Surgery Consent Form

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.

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Address: 4606 East State Boulevard, Suite D • Fort Wayne, IN 46815 • Phone: (260) 423-2340


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