Oral Facial Surgery Associates

Oral and Maxillofacial Surgery

Florence KY, Crestview Hills KY

859-371-0123, 859-578-9000

Contact Form

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We monitor our appointment requests several times a day and will usually reply within one business day during open hours.

Patient Registration Florence KY

  • Please review technical notes (below) before proceeding to register with our office

You may preregister with Dr Lucas or the other oral surgeons in our Northern KY oral surgery offices in Florence KY and Crestview Hills KY 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 Northern KY oral surgery offices in Florence KY and Crestview Hills KY, 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.

Technical Note:

Mac Users
You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please download the free plug-in from Adobe's web site. You Must OPEN the Adobe Reader Application after installation and make Adobe Reader your DEFAULT SAFARI PLUGIN for Viewing PDF Files.

PC Users
Our online form uses the latest Adobe Acrobat Reader plug-in to conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at the latest version of the plug-in to successfully use our online form.