Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.


If this is your first visit to our office and you are planning on having your surgery performed at this appointment, you CAN eat and drink prior to the visit as only local anesthesia (numbing medicine) will be used. If you would like any type of sedation for the procedure, a presurgical consultation only will be performed on the first visit.

Patient Registration Form

Call Vestal Oral & Maxillofacial Surgery Phone Number 607-729-7600 with any questions about completing our Online Patient Registration Form.