Patient Forms

Use the link below to fill out online forms.  After you have completed the form, press the Complete and Send button at the bottom to submit your information directly to our secure  private portal. We appreciate all new and existing patients who make the effort to submit this essential information prior to their appointment. 

New Patient Form

Existing Patient Update Form

 We look forward to seeing you soon!

  • Address: 952 Lupin Avenue, Suite 110, Chico, CA 
  • Get driving directions
  • Office Hours:
    • Mon – Thu: 8:00 AM – 3:00 PM
    • Fri: 8:00 AM – 2:00 PM.

Questions about the form? Let us know and we’ll be happy to help.

Oral & Maxillofacial Surgery Phone Number 530-345-7127 Email Us