Online Forms

Change of Information

Click the Button below to email our office with an update to your patient or insurance information. We will email you a confirmation when your information has been received and updated.

Email Our Office

Thank you for helping us keep your patient records up to date!


Convenient Online Forms

New Patient Form (Download PDF)

New Patient Form

Our Online Doctor Referral Form

Doctor Referral Form

For Appointments or General Questions Use our Contact Us Form

Contact Us Form

New Patient Form

Click here to download, our New Patient Form which you can fill out prior to your visit. Feel free to call us with any questions you may have.

Doctor Referral Form

Click here to fill out, our secure and easy-to-use Online Dr. Referral Form. Feel free to call us with any questions you may have.

Additional Questions?

Visit our Frequently Asked Questions, Patient Testimonials, and Patient Information. You're always invited to contact us directly, with any question you may have!

Call today at 770.934.2339 or email us at info@orofacialcenter.comWe look forward to hearing from you!