GETTING

Started

Thank you for choosing
Pleasant Hill Oral Surgery for your healthcare needs! We are available
Mon, Tues, Thurs 8:00 AM - 5:00 PM 
Wed & Fri 8:00 AM - 2:00 PM
Please call us to schedule your appointment! 
 
 

REGISTRATION

FORMS

Our philosophy of care is centered on ensuring that your needs as the patient come first. For your convenience, you may download & complete our Registration, Health History, and HIPAA forms and bring them with you to your first appointment. Please download the forms first (by clicking right mouse button and choosing "Save Link/Target As" function) before filling out the information. 

Please do not forget to provide us with any Referral Form from your doctor and/or any relevant x-ray for us to review. 

PLEASE NOTE: All patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit.

 

 

FINANCIAL

POLICY

At Pleasant Hill Oral Surgery we make every effort to provide you with premium care and convenient financial options  (i.e. cash, debit card, credit cards). We are contracted with few dental insurance companies.  Please call our office to get more information.
Full payment at the time of service is required. Please review this video regarding Explanation of Benefits (EOB). Our office also offers financing through CareCredit.

PRIVACY

POLICY

We take protection and confidentiality of your personal health information seriously. Please review our Notice of Privacy Practices for details. 

BEFORE IV ANESTHESIA
  • The patient may not have anything to eat or drink (including water) for six (6) hours prior to the surgical appointment.

  • The patient is advised to use restroom right before surgery.

  • Please wear loose fitting clothing with sleeves which can be rolled up past the elbow, and low-heeled shoes.

  • Contact lenses,  jewelry, and dentures must be removed at the time of surgery.

  • Do not wear lipstick, excessive makeup, or nail polish on the day of surgery.

  • If you have an illness such as a cold, sore throat, stomach or bowel upset, please notify the office.

  • If you take routine oral medications, please check with your surgeon prior to your surgical date for instructions.

  • If applicable, all smoking is to be avoided for at least two weeks prior to any surgical procedure. Complete cessation of smoking is advised for general health and post-operative healing. 

  • A responsible adult must accompany the patient to the office, remain in the office during the procedure, and drive the patient home.

  • The patient should not drive a vehicle or operate any machinery for 24-36 hours following the anesthesia experience or after any narcotic pain medication use.

 
BEFORE LOCAL ANESTHESIA
  • Have a light meal a few hours prior to surgery. 

  • For more extensive procedures you are advised to have someone drive you home.

  • Plan to rest for a few hours after surgery.

PRE-SURGERY

INSTRUCTIONS

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