Patient Registration

Thank you for choosing Nevada Oral & Maxillofacial Surgery, LLC and Dr. Selznick for your Oral Surgery needs. You may complete registration ahead of time by downloading and printing our patient registration forms. Once the forms are completed, please bring them with you to your appointment. If you have any questions or concerns about any of the information, please call our Las Vegas office at Las Vegas Office Phone Number 702-633-7500 or our Pahrump office at Pahrump Office Phone Number 775-751-0800.

Patient Registration

Patient Health Questionnaire

Consent for Anesthesia and Extraction of Teeth

Informed Consent