Online Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form.

After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information.

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.

Patient Registration

By filling out our patient registration form in advance, we are able to provide you with a faster and more convenient experience upon your first visit to our office.

If you have any questions about the patient registration process, please call us at Lakeside Oral & Facial Surgery Institute, Winnetka Office Phone Number 847-446-1560.

New Patient Information

Thank you for choosing Lakeside Oral and Facial Surgery Institute. We strive to deliver the best diagnosis and treatment that our practice has to offer.

We believe that these goals can be met through a continuous and open dialogue between you and our entire team.