Patient Registration

Central Mass Oral Surgery | Leominster & Gardner

Please preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, make sure to press the Complete and Send button at the bottom of the last page to automatically send us your information.  We will prepare for your arrival and check on insurance to make your visit seamless.

Online Patient Registration Button

The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.