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Foothill Oral Surgery Center | Patient Forms in Mission Viejo

Serving You For Over 20 Years

Michael K. Clark, DDS


USC Graduate

Oral, Maxillofacial, and Dental Implant Surgeon


Patient Forms

Getting ready for your Appointment...

After scheduling your appointment, please prepare yourself by clicking the links we have provided below, print the complete packet, and submit with any other necessary documentation to info@foothilloralsurgery.com.


Complete Packet:

Patient Registration Packet



Individual forms:

Registration Form

Financial Policy

Privacy Notice


Please also include:

  • the referral slip provided by your doctor
  • any x-ray you may have been given
  • a list of medications you are currently taking
  • dental insurance information
Mission Viejo Oral Surgery | Patient Forms. Michael k. Clark DDS is a Mission Viejo Oral Surgery.