Patients

 

Online Registration for Maui Oral Surgery

Save Time and Register Online

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.

Pre-op Form

Pre-op Instructions

Click to download

Post Op Form

Post-op Instructions

Click to download

Privacy Practices

Notice of Privacy Practices

Click to download

Doctors

Please use the online Referral Form below, or download and fax or securely email to our office.

You may refer patients to our office by filling out our secure online Online Referral 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 patient data is one of our primary concerns and we have taken every precaution to protect it.

Referral Form

Referral Form

Click to download