Patient Registration

We offer our patients a choice to either register online from their home, or in our office when they arrive for their appointment.

We have made the online registration option available for your convenience. If you prefer to register in our office, we ask that you arrive 30 minutes prior to your scheduled appointment time. You may use the link below to visit the “online forms” section of our website where you can find the link to begin the registration process online.

Please CLICK HERE to complete our patient registration form.

Simply click on that 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 Howard County Oral & Maxillofacial Surgery Phone Number 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 at Howard County Oral & Maxillofacial Surgery Phone Number 410-997-5826.

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