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.

Online Patient Registration

Health History Update

We're Here To Help

Call our office at New York Oral Surgery Office Phone Number 212-355-8500 to schedule an appointment with Dr. Hershkin or Dr. Merriam or for the answers to any questions. You can also use our online contact request form