Oral & Facial Surgeons of Michigan
Oral Surgery
Waterford MI, Brighton MI, Hartland MI
248-674-0303
  • Patient Information
    • Patient Information
    • First Consultation
    • Scheduling
    • Patient Registration Forms
    • Financial Information
    • Insurance Information
    • Privacy Policy
  • Procedures
    • Dental Implants
    • Full Arch Implant Restoration
    • Bone Grafting
    • Wisdom Teeth
    • Facial Trauma
    • Jaw Surgery
    • Oral Pathology
    • TMJ Disorders
    • Pre-Prosthetic Surgery
    • Platelet Rich Plasma
    • Cosmetic Procedures
  • Meet Us
    • Meet Dr. Butts
    • Meet Dr. Benian
    • Meet Dr. Johnson
    • Meet Dr. Jabero
    • Office Tour
  • Instructions
    • Before Anesthesia
    • After Implants
    • After Bone Graft
    • After Wisdom Teeth
  • Refering Doctors
    • Referral Form
    • Links of Interest
  • Contact Us
    • Contact Information
    • Waterford Map
    • Brighton Map
    • Hartland Map
  • HOME

Patient Information

  • Patient Information
  • First Consultation
  • Scheduling
  • Patient Registration Forms
  • Financial Information
  • Insurance Information
  • Privacy Policy

Patient Registration Form

Please download and fill-out our Patient Registration Forms. After you have completed the form, please make sure to bring it on your first visit to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

  • Patient Health History
  • Patient Consent
  • Billing Agent

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The surgical team at Oral & Facial Surgeons of Michigan consists of Dr. Thomas Butts, Dr. Richard Benian Dr. Bryan Johnson & Dr. Marvin Jabero
providing Oral Surgery & Cosmetic Procedures to patients in Waterford, Brighton, Hartland & Clarkston MI. Services Include:
Dental Implants, Wisdom Teeth Extraction, Treatment of Traumatic Facial Injuries, Jaw Surgery & BOTOX® Cosmetic
Address: 4250 Pontiac Lake Road • Suite B • Waterford, MI 48328 • Telephone: 248-674-0303 • Fax: 248-674-2947
Address: 9880 E. Grand River • Suite 150 • Brighton, MI 48116 • Telephone: 810-227-2626 • Fax: 810-227-8532
Address: 11525 Highland Road • Suite 11 • Hartland, MI 48353 • Telephone: 810-632-4545 • Fax: 810-632-9397