Logo of Fallon Oral Surgery

1 (315) 451 - 6988

4820 West Taft Road
Liverpool, NY 13088

FORMS - ORAL SURGERY PATIENT FORMS


Photo of Front Desk Staff and Doctor reviewing a form inside a dental record

Thank you for selecting Fallon Oral Surgery of Syracuse for your dental care. This page has two forms for to assist you with New Patient Registration and Patient Health Questionaire. For your convenience and so that we can serve you promptly, please complete the online New Patient Questionnaire form prior to your first visit.

Please print and bring the completed form to the office at your first visit.

Click on the below links to open forms:


  Adobe Arcobat Reader is required for viewing the forms. Download it for free by clicking here.