Patient Registration

You can 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 Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

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Patient Registration


Call The Oral & Facial Surgery Center of Kentucky Phone Number 270-737-1733 with any questions about completing our registration form.