Facial Surgery Center

620 S. Madison St. #302
Enid, OK 73701

P: (580) 242-2800
F: (580) 242-2801

Click here for more info and directions!

  • My-Emmi.com

Online Forms

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.

Patient Consent Forms

You may review our patient consent forms prior to your procedure by clicking the link below. We will provide the actual form for you to sign during your office visit.

  • Consent for Orthognathic Surgery
  • Consent for Wisdom Tooth Removal / Oral Surgery
  • Consent for Comsetic Surgery
  • Consent for Rhinoplasty

Technical Note:

Our online forms use the Adobe Acrobat 5 Plugin to allow patients the convenience of completing their health history and registration forms from home or work. Please download the free plugin from Adobe's web site if it is not already installed on your system. It is important that you have at least version 5 of the plugin, in order to successfully use our forms.

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