Patient Registration | Huntington Beach

Secure Online New Patient Forms

You may preregister with our office by filling out our secure, online Patient Registration forms. 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 submit your form, you will have the opportunity to securely upload and transmit images of your insurance card. For assistance, call our office: Huntington Beach Oral Surgery Office Phone Number 714-847-9000.

Online Registration Form - clickable button graphic

The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Office Hours

Monday through Thursday:   8:30 AM - 5:00 PM
Friday:   8:00 AM - 2:00 PM