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Oral Surgery of Tidewater is pleased to offer our services to you! To help your visits run more smoothly and to help you save time at our office, we invite you to review and complete your patient forms prior to your appointment. This will allow you to spend more time with our oral surgeons, Dr. Ford, Dr. Guter, and Dr. Gray, and receive the treatment you need. If you need assistance, please feel free to contact our office today.

Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
 


Please review the following Medicare Private Contract that all patients who have Medicare will be required to sign. If you have any questions regarding the contract, please contact our office at 757-499-6886.

Medicare Waiver Form

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