Patient Forms

Thank you for choosing Southern West Virginia Oral & Maxillofacial Surgeons! Your first appointment will be an essential visit for you and for us.

During your initial consultation, the surgeon and surgical staff will take time to discuss your concerns and expectations while educating you about your condition. We will go over the surgical and anesthetic procedures available for your particular situation and provide you with a custom, effective treatment plan.

Please arrive at least 15 minutes early to allow time to complete your paperwork, and remember to bring the following items to your appointment:

  • Your dental and medical insurance cards, if applicable
  • Photo ID
  • Current list of medications
  • Surgical referral, if applicable
  • Recent X-rays, if less than one year old

For your convenience, you can click on the forms below, easily fill them out online, then print and bring them with you to your first visit.

We look forward to meeting you and your family!

If you’re unable to open PDF files, you can get Adobe Reader® for free.

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