Patient Forms

Please complete our Patient Registration Form and bring it with you to your first appointment to save time when you visit our office. To ensure you’re best prepared for any scheduled procedures, download the Preoperative and Postoperative Instructions. Make sure to read each form in detail prior to the procedure. If you’re having trouble with the PDF, download Adobe Acrobat for free.

Direct any questions to Oral & Maxillofacial Surgery of Utah.

Financial Policy

Oral & Maxillofacial Surgery of Utah gladly accepts Visa, MasterCard and Discover. Patients are 100 percent responsible for fees, regardless of  insurance coverage. Our team of professionals is committed to providing the best in care at affordable costs.  For account questions, contact Oral & Maxillofacial Surgery of Utah at (801) 943-8703.

Patients can expect a monthly statement, but keep in mind that the majority of insurance companies take up to six weeks to respond. In the event that you receive a statement that doesn’t match insurance payments, call our office immediately. Prompt payments are greatly appreciated. Know that payment arrangements can be made via a monthly plan, but an agreement must be reached before any procedures.


At your first appointment, please bring proof of insurance in order to make reimbursement as fast and easy as possible. Every effort is made to provide our patients with the finest care, and with cost-effective financial options. To do this, we work closely with our clients in order to make the most of your insurance reimbursement. If there are problems or questions, we encourage you to contact our staff. Call us at (801) 943-9703.