DOUGLAS M. GALEN, D.D.S.

ORAL & MAXILLOFACIAL SURGERY

(310) 855-1000

8920 Wilshire Boulevard, #442

Beverly HIlls, CA 90211

HIPAA ONLINE PROTECTED REGISTRATION FORMS

ONLINE hipaa protected registration forms are available by clicking the links below.  Completion of these form will allow our office to expedite your vist. This is being done to protect you and our staff with a paper free exchange.

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PDF REGISTRATION FORMS (traditional papter forms)

You may download a PDF version to fill out prior to your initial visit with us. Feel free to either fax, mail or bring it with you at your first visit.