Thank you for your interest in Commonwealth Oral & Facial Surgery. Our Doctors are committed to providing the highest standard of professional care for your patients. We appreciate and value the trust you have placed in us and we hope to create a lasting and mutually beneficial relationship.

Online Referral Form & Submitting Digital X-rays and Photos:

You may refer patients to our office by filling out our secure online Referral Form. You may also attach digital x-rays or photos once you have submitted the form. 

After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

Online Patient Registration-

Your patients may fill out our secure online Patient Registration Form. They have the option of printing a copy for their records before they submit it.  On their first visit to our office, we will have the  completed form available for their signature. The security and privacy of every patient's personal data is one of our primary concerns and we have taken every precaution to protect it.

Technical Note:

PC Users

Our online form uses Adobe Acrobat Reader 5 or greater plug-in to conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at least version 5 of the plug-in to successfully use our online form.

Mac Users

You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please download the free plug-in from Adobe's web site.