New Patient Registration and Health Questionaire
Please read the following information:

Thank you for selecting Fallon Oral Surgery of Syracuse for your dental care. For your convenience and so that we can serve you promptly, please complete the online New Patient Questionnaire form prior to your first visit.

The form may be filled in from your computer or by hand. Please bring the completed form to the office with you at your first visit.

Click on the below links to open forms:

     Patient Registration and Health Questionaire *Returning patients
     New Patient Package Questionaire *NEW patients only
Adobe Arcobat Reader is required for viewing the forms. Download it for free by clicking here.

West Taft Medical Park  •  4820 West Taft Road  •  Liverpool, NY 13088  •  315-451-6988
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