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PATIENT REGISTRATION

SAVE TIME BY PREREGISERING

PATIENT REGISTRATION FORM

Is this your first time visiting Panhandle Oral Surgery? If so, please fill out the Patient Registration Form online or print it off, fill it out, and bring it with to your next scheduled appointment. Completing these forms prior to your appointment will save you time during your visit. Please view our Notice of Nondiscrimination here.

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YOUR BEST SMILE STARTS
AT POMS

GIVE US A CALL TODAY AT (806) 367-9990 TO SCHEDULE YOUR CONSULTATION WITH OUR EXPERT ORAL SURGEON

PRACTICE

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OFFICE

4905 Lexington Square

Amarillo, Texas 79119

Get Directions

(806) 367-9990

HOURS

Monday-Thursday 8:30pm-5pm

Friday 8:3-0pm - 2pm

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