Patient Registration

Intake Forms for Oral Surgery in Ellicott City, MD

Convenient, Secure Access to Everything You Need Before Your Oral Surgery

At Howard County Oral & Maxillofacial Surgery, we make every part of your experience simple, safe, and stress-free—starting with your patient paperwork.

We offer our patients a choice to either register online from their home, or in our office when they arrive for their appointment. If you prefer to register in our office, we ask that you arrive 30 minutes prior to your scheduled appointment time.

Please complete our online patient registration form. Simply click on the button and complete the form. When finished, press the submit button located at the bottom of the form. If you are having any problems loading or using the form, please contact us at 410-997-5826 and our office staff will be happy to assist you.

You may also choose to download and print the form instead of registering online to bring into the office. If this is the case, you will still find yourself saving time in the process of registration. If you have any questions regarding the registration process, please contact us.

IMPORTANT: All patients under the age of 18 must be accompanied by a parent or guardian at EVERY visit.

Online Patient Registration
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When Should I Complete My Patient Forms?

We recommend submitting your forms at least a week prior to your evaluation, so our team has time to review them and verify insurance so we can be prepared to speak with you about your coverage and costs.

Contact us if you have any questions or need assistance, or visit our Patient Hub / Patient Library page for more information.