Online 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.

Please read the following Privacy Notice prior to completing our online forms:

Notice of Privacy Practices for Protected Health Information

Shadyside Office

Monroeville Office

Tarentum Office

South Hills Office

For more information about our practice or to schedule a consultation, call one of our 4 Pittsburgh offices at Pittsburgh Oral Surgery Shadyside Phone Number 412-661-7690.