Tyler Oral and Facial Surgery provides an easy way for new patients to sign up without the need to fill out extraneous paperwork in the office.

New Patient Sign-Up

To register or make an appointment, please click on "New Patient Registration" form. This will direct you to an online registration form. Please complete the form entirely if possible. This will save you time when you come for your appointment and help you avoid filling out additional paperwork.

Once completed, you may print a copy for your records and hit the submit button to send it directly to our office. If you do not already have an appointment, please indicate the desired time and someone will contact you to schedule one as soon as possible.

And don't forget: please bring all insurance cards and identification when you come in for your appointment!

New Patient Registration

As a service to our patients, we are pleased to offer the CareCredit card, North America’s leading patient payment program. CareCredit offers a full range of payment plans to meet every financing need. With the popular No Interest Payment Plans* there are no interest charges if the balance is paid in full within the specified time period. Or, if you prefer an even lower monthly payment, you can choose the low interest, Extended Payment Plans* for procedure fees from $1,000 and up.

Plus, there are no upfront costs, no annual fees, and no pre-payment penalties. It’s easy to apply and you'll receive an online decision in seconds. Apply now or see our staff for more details.

Important Forms

Patient Registration (Web Fillable)

Financial Policy Form

Complete Notice of Privacy Practices

Receipt of Notice of Privacy Practices

Credit Card Authorization Form

Minor Consent Form

If possible, please print these forms out and bring with you. The forms are also available at our office. The Patient Registration form is web-fillable, as long as you are using an updated version of Adobe Reader.

NOTICE: Please wait to sign any of the forms until at our office.

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