Oral & Maxillofacial Surgery of Ohio
7462 Jager Court
Cincinnati, OH 45230 (513) 232-4600

Online Registration

In order to provide you the best possible service and to make your visit to our office easier and more comfortable, you can now complete our registration forms in advance of your visit.

To open up our registration form, please click the link below.

OMS Ohio Patient Registration Form

You will need a PDF reader installed in your computer to use our Registration form. Please click on the icon below to download the latest free version of Acrobat Reader.

To submit your Registration Form to us electronically you must do the following:
  • Upon completion of the registration form, you need to save it to your computer.
  • Fill out the Registration Submittal Form below.
  • Attach your saved Registration Form. (You can do this by clicking the Browse button and then double clicking on the file you want to send.)
  • Click "Submit Registration"
  • We will have the form ready to sign upon your arrival at our office.

    Online Registrations
      You can click here to go to our online registration package.
    Referring Doctors
    We are dedicated to providing your patients and their families with the highest quality of care in a most comfortable setting. We look forward to the opportunity of treating your patients and we appreciate the referral.
    Online Map & Directions
    You can locate our contact numbers and addresses for both of our offices here.