Shimane Oral and Maxillofacial Surgery Online Patient Registration

Oral Surgery Patient Registration In Castro Valley CA

To save you time, you may preregister with us by clicking and filling out our secure online Health History and Patient Registration Form below.

This form is hosted on a secure password protected server (follows all HIPAA compliancy laws). The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

If you unable to fill out this online form before your appointment, please arrive 15 minutes before your scheduled appointment in order to fill out this form.

Online Registration Form button

By filling out our patient registration form in advance, we are able to provide you with a faster and more convenient experience upon your first visit to our office. If you have any questions about the patient registration process, please call us at Shimane Oral and Maxillofacial Surgery Phone Number 510-885-8720.

Office Hours

Monday through Thursday:   8:00 AM - 4:00 PM
Friday:   8:00 AM - 2:00 PM

New Patient Information

Thank you for choosing Shimane Oral and Maxillofacial Surgery. We strive to deliver the best diagnosis and treatment that our practice has to offer. We believe that these goals can be met through a continuous and open dialogue between you and our entire team.