Center for Oral Reconstruction & Education
Oral & Maxillofacial Surgery
1110 East Chapman Avenue, Suite 100, Orange, CA 92866
Tel 714-771-7677 • Fax 714-771-1518
  • PATIENT INFORMATION
    • Introduction
    • First Visit
    • Scheduling
    • Financial Policy
    • Insurance
    • Privacy Policy
    • Newsletters & Articles
    • Sports Dentistry
  • PROCEDURES
    • Dental Implants
    • Bone Grafting
    • Wisdom Teeth
    • Extractions
    • Impacted Canines
    • Facial Trauma
    • Jaw Surgery
    • Oral Pathology
    • TMJ Disorder
    • Platelet Rich Plasma
    • Surgically-Assisted Orthodontics
  • MEET US
    • Meet Dr. Grant
    • Meet Dr. Fontanesi
    • Meet Dr. Poidmore
    • Meet Our Staff
    • Office Tour
  • INSTRUCTIONS
    • Before Anesthesia
    • Dental Implants
    • Wisdom Teeth
    • Extractions
    • Bone Grafting
    • Surgically-Assisted Orthodontics
  • ONLINE FORMS
    • Patient Registration
  • REFERRING DOCTORS
    • Referral Form
    • Study Club
    • Links of Interest
  • CONTACT US
    • Contact Information
    • Office Map

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 Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

CENTER FOR ORAL RECONSTRUCTION & EDUCATION   |   ORAL & MAXILLOFACIAL SURGERY   |   ORANGE, CA

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