Patient Forms

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Before Your Visit
Patient Information 
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New Patients: Please fill our Patient Information form prior to arriving at our office. Filling out the form in advance may save time once you arrive at our office.
Patient Medical History

New Patients: Please fill our Patient Medical History form prior to arriving at our office. Filling out the form in advance may save time once you arrive at our office.
Insurance Information

All Patients: To ensure we have the most current information, please complete the Insurance Information form prior to arriving at our office.
Our Financial Policy 
After Your Visit.
Post Surgical Procedure Instructions - General Anesthesia 

Now that your oral surgery is completed, follow these procedures to make yourself comfortable, promote healing, and help prevent possible complications.
Post Surgical Procedure Instructions - Local Anesthesia

Now that your oral surgery is completed, follow these procedures to make yourself comfortable, promote healing, and help prevent possible complications.

Billing Questions??

For patient and insurance billing inquiries, please e-mail our Billing Department at billing@milleroral.com, or call the office at (717) 657-4400, option 3.

CANCELLATION POLICY

Please be advised that our office requires at least 24 hours notice to cancel or reschedule an appointment. If you do not give our office 24 hours notice, you may be charged a fee for a missed appointment.
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