Patient Registration

Online Registration Form

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.

Online patient registration form button

INSURANCE INFORMATION

At Monterey Oral Surgery we make every effort to provide you with the finest care and the most convenient financial options. To accomplish this we work hand-in-hand with you to maximize your insurance reimbursement for covered procedures. If you have any problems or questions, please ask our staff. They are well informed and here to assist you. They can be reached by phone at Monterey Oral Surgery Phone Number831-372-2882.

Please call if you have any questions or concerns regarding your initial visit.

Please bring your insurance information to your first office visit so that we can expedite reimbursement.

PRIVACY POLICY

This form, Notice of Privacy Practices presents the information that federal law requires us to give our patients regarding our privacy practices.

Click here to view the form Notice of Privacy Practices

This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.