Patients

Mission Statement

At Oral and Maxillofacial Surgery of Greater Grand Rapids, our goal is to provide quality care with your comfort and safety in mind. We are dedicated to our patients and strive to make each visit a pleasant experience.

Patient Forms

Please fill out our secure "Online" paperwork or print and fill out the PDF forms and bring them with you on the day of your appointment..

*For ALL patients, please fill out 1-4. *
*For any patients 65 and older please fill out 1-5.*

1. PATIENT INFORMATION [PDF] [Online]
2. PATIENT HEALTH HISTORY [PDF] [Online]
3. FINANCIAL AGREEMENT [PDF] [Online]
4. HIPAA [PDF] [Online]
5. MEDICARE OPT [PDF] [Online]
6. PATIENT REFERRAL

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.