Patient Registration

Introduction • Pateint Registration • Financial Policy

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.

Dr. Stephen C. Dwyer | Dr. M. James Clark | Dr. Charles M. Repa | Dr. Dan W. Williams, Jr. | Dr. Brian M. Unterman | Dr. Zahid S. Lalani | Dr. Cecil R. Shrewsberry

Louetta Office: 8687 Louetta Road, Suite 100, Spring, TX 77379 • Phone: 281-370-4034
Conroe Office: 2249 N. Loop 336 West, Suite A, Conroe, TX 77304 • Phone: 936-756-8188
Medical Plaza Office: 1001 Medical Plaza Dr, Suite 370, The Woodlands, TX 77380 • Phone: 281-363-3241
Technology Forest Office: 4185 Technology Forest Blvd. Suite 100, The Woodlands, TX 77381 • Phone: 281-367-2001
Sterling Ridge Office: 10333 Kuykendahl, Suite A, The Woodlands, TX 77382 • Phone: 281-364-9933
Huntsville Office: 3200 Robinson Creek Pkwy. Suite A, Huntsville, Texas 77340 Phone: 936-439-9572

Northwest Oral & Maxillofacial Surgery your Houston Oral Surgeons provide Oral Surgery procedures including:
Bone Grafting, Wisdom Teeth, Oral Pathology, Impacted Canines, Facial Trauma, Jaw Surgery, TMJ Disorders, and Dental Implants.

Houston Oral Surgeons serving Montgomery County, Harris County and Houston-Sugar Land-Baytown Metropolitan Area, including The Woodlands, Spring, Conroe, Huntsville,
Houston, Magnolia, Montgomery, Tomball, Madisonville, Pinehurst, Humble and Kingwood.

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