East Lyme Oral & Maxillofacial Surgery, LLC
Oral Surgery
East Lyme, CT
(860) 739-3133
Online Patient Registration
Patients may preregister with our office by filling out our secure online Patient Registration Form. After they have completed the form, patients can press the Submit button at the bottom to automatically send us their information. On their first visit to our office, we will have their completed form available for their signature. The security and privacy of their personal data is one of our primary concerns and we have taken every precaution to protect it.
Our online form uses Adobe Acrobat Reader 9 or greater plug-in to conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at least version 9 of the plug-in to successfully use our online form.