Online Patient Registration

Oral Surgery Patient Forms

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. After you submit your form, you will have the opportunity to upload an image of your insurance card.

Online Patient Registration

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.

For further assistance, please call our office: Oral Surgery Office of Dr. Steven Young in Johnston RI Phone Number 401-273-7802.

Privacy Policy

The practice of Steven H. Young, DDS, OMS, LLC has provided a downloadable and printable version of their Notice of Patient Information Privacy Policy, as required by law. Please call us with any questions: Oral Surgery Office of Dr. Steven Young in Johnston RI Phone Number 401-273-7802.

Be sure to print and sign the privacy policy, and bring it with you to your appointment.

Technical Note

These forms are in PDF format. If you do not have Adobe Reader installed on your computer, you may download Acrobat Reader for free and use it to access these forms.