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Please complete your registration information online before your visit with us.  This will save you time in our office!

If you are unable to complete your registration online before your appointment, please print and complete the form below and bring it with you to your first appointment, or arrive 30 minutes early to fill out the paperwork in the office. Thank you!

Printable Patient Registration Form

Please read the office Notice of Privacy Practices below

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© 2021 Louisiana Oral & Implant Surgery

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4720 Lake Street

Lake Charles, LA 70605

(337) 888-4771

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