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 Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Patient Registration Form

When you arrive at our office for your first visit, this completed form will be presented for your signature. We are diligent about protecting your privacy and the security of your personal data.

If you have questions about completing the patient registration form, then you are welcome to contact us at 630-961-5151 for assistance.

Providing Dental Implants and Oral Surgery in Naperville and Surrounding Cities

Oral and Facial Surgery of Naperville is a specialty practice led by board-certified oral and maxillofacial physicians. Over nearly 40 years, we have helped thousands of patients improve their aesthetics, function, and comfort. Our focus areas include dental restoration with dental implants and All-On-4, wisdom teeth removal, tooth extractions, and jaw surgery. Our priorities are patient safety and well-being. The practice promotes high-quality outcomes and a great experience by spending the time patients need in their treatment, taking a personal interest in their care, and utilizing modern surgical resources.

Patient Registration