logoEN
ESPANOL
中国

PATIENT INFORMATION

You can expect to receive a warm welcome by friendly faces when you enter our office.

New Patient/First Visit Registration Forms

To streamline your check-in, we encourage you to complete the new patient and health history forms online, or print and bring them along on your initial visit. If you choose to fill them out upon arrival, we request that you come 15 minutes prior to your scheduled appointment.

Printable New Patient Forms

Download, print PDF file and fill it and please bring it with you to your first visit.

Online New Patient Form

Fill out the new patient and health history forms online.

Patient Instructions

Financial and Insurance

We offer financial flexibility and accept any of the following payment options:
  • Cash
  • Money Order
  • Cashier's Check
  • Debit/Credit Card
  • Insurance
  • Care Credit
  • Cherry
We have flexible payment plans made available through CareCredit and Cherry. Apply now to take advantage of low monthly payment plans.

Click on CareCredit to start your application.

Click on Cherry to start your application.

At OC Maxillofacial Surgery Center, we strive to give you the best service at a reasonable rate. We will do our best to contact and bill your insurance company, but any remaining balance will be your responsibility.

If you have any questions related to billing or other finance related questions, please contact us at ocmaxsurgery@gmail.com or +1-714-939-7505 or +1-714-838-4141.

banner