Richmond Oral and Cosmetic Surgeons
Oral and Cosmetic Surgery
Midlothian, VA
804-379-7120
  • Home
  • Patient
    Information
    • Welcome
    • Initial Consultation
    • Scheduling
    • Financial Information
    • Conditions for Treatment
  • Oral Surgery
    Procedures
    • Introduction
    • Wisdom Teeth
    • Dental Implants
    • Bone Grafting
    • Facial Trauma
    • Oral Pathology
    • TMJ Disorders
    • Orthognathic Surgery
  • Facial Cosmetic
    Procedures
    • Introduction
    • Facial Resurfacing
    • Chemical Peels
    • Skin Rejuvenation
    • BOTOX® Cosmetic
    • Blepharoplasty (Eyelid Lift)
    • Face Lift
    • Rhinoplasty
    • Facial Liposuction
    • Facial Implants
    • Lip & Facial Enhancement
  • Meet
    Us
    • Welcome
    • Meet Dr. Wallace
    • Meet Dr. Padgett
    • Meet Our Staff
    • Office Tour
    • Statement of Philosophy
  • Online
    Videos
    • Introduction
  • Referring
    Doctors
    • Introduction
    • Online Referral System
    • Referral Form
    • Study Club
    • Links of Interest
  • Patient
    Forms
    • Patient Registration
  • Surgical
    Instructions
    • Introduction
    • Before Anesthesia
    • After Dental Implant Surgery
    • After Wisdom Tooth Removal Surgery
    • After Exposure of an Impacted Tooth
    • After Extractions
    • After Multiple Extractions
  • Contact
    Us
    • Introduction
    • Huegenot Rd Office Map
    • Harbour Lane Office Map
    • Email Us

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Online Patient Registration

You may preregister with our office by taking our online patient interview. You will be presented with an interactive question and answer presentation that facilitates form completion. This narrated interview system enables a more accurate form completion process. This presentation will save you time! It eliminates the need for you to fill out traditional health care forms in our office.

When you are ready to begin, click the "Register Online Now" button below. A simple question and answer process will commence. After you have completed the interview, the patient information collected is securely encrypted and sent to our office.

On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Home • Patient Information • Oral Surgery Procedures • Facial Cosmetic Surgery • Meet Us • Online Videos • Referring Doctors • Forms
Surgical Instructions • Contact • Sitemap

James C. Wallace, D.D.S. and Thomas B. Padgett, D.M.D. your Richmond & Midlothian VA Oral Surgeons
practice the full scope of Oral and Maxillofacial Surgery and have Special Expertise in:
Dental Implant Surgery, Reconstructive Jaw Surgery, Impacted Tooth Removal, and Cosmetic Facial Surgery
and also diagnose and treat Facial Pain, TMJ disorders, and Oral/Facial Trauma.

Serving the communities of Richmond, Powhatan, Chesterfield County, and Henrico County.

Richmond Oral & Cosmetic Surgeons
1680 Huguenot Rd., Midlothian VA 23113 • 804-379-7120
5921 Harbour Lane, Midlothian VA 23112 • 804-739-5490

 

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