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Patient Registration

 

You will register during your first visit to our office.  You may fill out and print the attached document below or we can provide one for you when you arrive.

 

 

 

Please assist us by providing the following information at the time of your consultation:

  • Your surgical referral slip and any x-rays if applicable.

  • A list of medications you are presently taking.

  • If you have dental insurance, bring the necessary completed forms. This will allow us to help you process any claims.

  • A completed Patient Information Form.

 

The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.  If there any questions, please contact us at 830-895-3494.

Make an Appointment
Find us
204 Wesley Drive
Kerrville, Texas 78028
info@KerrvilleOMS.com

Tel: 830-895-3494

Fax: 830-896-3390

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