8203 Main Street, Suite # 7
Williamsville, NY 14221
Tel: 716-565-1830
Fax: 716-565-1836

   

Your First Visit

To provide our office with important information and to avoid delay in your appointment time, please complete the following:

New Patient Information Package (Patient information/Health history/Privacy practices)

Note: You may fill-out the forms online or print and bring them to your first appointment. If you do not wish to complete the forms prior to your appointment, you are welcome to do so in our office.

Also, please bring the following:
• Patient’s insurance card
• Driver’s license or photo I.D. of the patient (Parent or Guardian’s I.D. if the patient is a minor)
• List of current prescriptions and/or over-the-counter medication, including dose and frequency
• Information about patient’s medical and surgical history
• Recent x-rays, referral from your Dentist, test results or relevant records

We again thank you for choosing our office for your oral surgery needs. If you have any questions for us prior to this time, please do not hesitate to call.