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 Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Patient Registration


We Provide the Highest Quality Oral Surgery Care for Our Patients

Dr. Smith offers exceptional Oral Surgery services such as dental implant placement, wisdom teeth removal, bone grafting, and more!
Call us: (503) 667-1431