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Patient Forms
Save time by completing your new patient paperwork online with our fast, secure, and convenient patient portal.

Maniscalco Oral Surgery and Implant Center New Patient Forms


Oral Surgery Patient Forms | Birmingham, AL - forms

Welcome to Our Practice

We encourage visitors to complete their new patient forms online for their convenience. If you submit your paperwork online, you may arrive at our office 10 minutes before your appointment. Patients who choose to complete their paperwork in person will need to arrive 30 minutes in advance.

Our patient portal is simple and secure, fully HIPAA compliant and protected by an SSL Certificate to keep your personal information safe. To get started, simply click the link below.

Complete Patient Forms

Reach Out to Our Office

* Indicates required questions
Name *
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Phone # *
Email *
How can we help you? *
Phone: (205) 991-9787

Our friendly & helpful staff is standing by to answer any questions you may have.