Health History and Registration Forms

Filling out our forms prior to your appointment can save valuable time and make your office experience smoother and more comfortable. All new patients will need to print and fill out the following forms:

1 - Health History Form
2 - Demographics and Insurance Form
3 - Secondary Insurance Form

You will need Adobe Acrobat Reader which you can download for free by clicking on the Adobe Acrobat Reader icon.

Returning patients must fill out a new Health History Form if it has been more than six months since your last visit or there has been a major change in your health status. If at any time demographic or insurance information has changed, the Demographics and Insurance Form, and, if applicable, the Secondary Insurance Form must be updated.

If you have any questions about our online forms, please contact our office so that we can help.
Thank you for choosing Center Oral & Facial Surgery.

Dr. Greg Kewitt and the staff of Centre Oral & Facial Surgery specialize in
oral & maxillofacial surgery procedures including dental implants, bone grafting, wisdom tooth
removal, and cosmetic surgery. Our practice is located at 474 Windmere Drive, Ste. 202,
State College, PA 16801

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