Patient Forms

We strive to make your experience with us as easy as possible and provide our forms online to do so. Please fill out your forms before your appointment with our dentist, as this will help transition you quickly into your visit with Dr. Richard Cordero when you arrive at Eastern Shore Oral, Facial and Implant Surgery Center. Have questions about our oral surgery care in Fairhope, Alabama? Call our office at 251-333-1700.

Patient Form

Patient Financial Policy

HIPAA Consent Form

Patient Pre-Op Form