Online Patient Registration

Secure Online Oral Surgery Forms

You may choose to complete your registration form online and securely send it to our San Luis Obispo office. You also have the option to download and print out Patient Registration forms in English and Spanish to fill out at home and bring to the office.

Secure Online Registration

You may preregister with our office by filling out our secure online Patient Registration form. Please click on the blue button below, labeled Online 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 securely upload and transmit images of your insurance card(s).

Clickable button to launch a secure online Patient Registration form.

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.

Choose Exceptional Oral Surgery

Dr. Janette can treat a variety of problems related to the mouth, teeth, and face. Contact us to schedule an appointment!

Call us: 805-541-5611


Printable Forms


Patient Registration Packet

Extraction Post-Op Instructions

Dental Implants Post-Op Instructions

Formas Españolas

Registro de Pacientes

Extracción Instrucciones Post-Operatorias

Implantes dentales después de la operación Instrucciones

Technical Note

These downloadable 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.

For more information about Patient Registration or to schedule a consult with Dr. Janette, call our San Luis Obispo office at Oral Surgery & Dental Implant Office in San Luis Obispo CA Phone Number 805-541-5611 or use our Appointment form.