ADA Accessibility Information
Accessibility
A
A

A
background image art3

New Patient Forms
Dublin, OH
Finger pressing screen on tablet in front of monitor and keyboardIt's a little easier to fill out our medical paperwork from the comfort of your own home.

For your convenience you may choose to either download a PDF version of our patient paperwork or you may electronically fill out our secure online form and have it directly submitted to our office.

***Please Note*** If the patient is a minor, a parent or legal guardian signature is required on all paperwork.
Download Printable Form
Open Digital Form For Electronic Submission


If you would like to view the wisdom tooth video:

You may download a copy of our Privacy Policy and Patient Rights (PDF) for your records.

If you have any questions at all about our form, please contact us.
Logo for Rekos & Border Oral Surgery


PHONE


(614) 764-9455

FAX


(614) 526-3745

HOURS


Mon - Thu: 7:45am to 4:15pm
Friday: 6:45am to 2:00pm
Copyright © 2017-2022 Rekos & Border Oral Surgery and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap | Links
New Patient Forms | Rekos and Border Oral Surgery | Dublin, OH
New patient forms for Rekos and Border Oral Surgery can be filled out from the comfort of your own home. Click here for more information and contact us today.
Rekos & Border Oral Surgery, 5155 Bradenton Ave, Suite 100, Dublin, OH 43017-7558 ^ (614) 764-9455 ^ omfso.com ^ 11/27/2022 ^ Related Phrases: oral surgeon Dublin OH ^