Online Patient Registration

Welcome to our Oral Surgery Practice! We are glad you are here. Our team is dedicated to providing the highest quality of care for all of our patients. Our team is here to ensure that your experience with us is comfortable and stress-free. We understand that visiting the oral surgeon can be a daunting experience, so we strive to make it as simple and straightforward as possible.

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.

Aventura Registration Form

MiamiRegistration Form

Note to Patient: Upon filling out your first name, last name, email and at least one phone number field (a valid home or cell phone) a button will appear in the upper right corner titled "Save and Exit" . This button allows you to save and exit your form to complete at a later date. The system will send a registration email to the email provided on the form, so that you may setup a login to go back and finalize your registration form online.