Connecticut Maxillofacial Surgeons, llc
 

Forms & Downloads

We request that you pre-register with our office by filling out both our COVID-19 Health Form Addendum AND the secure online Patient Registration Form by clicking the link immediately below.

After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Patient Pre-register


Downloads

InfoNewslettersForms/Policies
This area contains downloadable versions of our newsletters as well as our policies and patient authorizations in PDF (requires only FREE Acrobat Reader) to use.

Simply click on any document name or icon to begin the downloading process.

CTMAX Privacy Practices

CTMAX Privacy Practices

Authorization to Release Info

Authorization to Release Info

Health History Addendum

Health History Addendum

Our Locations: Farmington  /   Simsbury  /   Wethersfied  /   Windsor  /   Torrington
 
Connecticut Maxillofacial Surgeons, llc
© 2020 - CTMAX