Patient Registration St. Simons Island & St. Marys

Returning Patients Click Here!

If you have not visited our practice in over 2 years, please fill out the New Patient Registration Forms below.

Pre-register With Secure Online Patient Registration Form

Patient Registration Process for Oral SurgeryYou may pre-register 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. After you click the Submit button, you will have the opportunity to securely upload and transmit images of your medical or dental insurance card(s).


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.

COVID-19 Questionnaire

Please fill out our secure online COVID-19 Questionnaire 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.

COVID-19 Questionnaire

Health History Update Form

If you have not visited our practice in over 2 years, please fill out the New Patient Registration Forms above.

You may preregister with our office by filling out our secure online Health History Update Form 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.

Previous Patient Health History Update Form

HIPPA RELEASE FORM