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 (No need to print these forms).

For assistance, please call our Brentwood office at Brentwood Oral Surgery & Dental Implant Center Phone Number 925-513-0100.

Online Registration Form button

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.