Patient Medical Concern

If you have significant health issues, it is best to see you in advance of your surgical appointment to evaluate your needs and determine the safest and best manner to provide your oral surgical care.  We understand that circumstances sometimes make this difficult or even impossible to accomplish. If that is the case, then we would ask you click the link below and print the consent for release of medical information form. Please fill it out completely, including your physicians information, and return it to us so that we can then request your medical information from your physician. Once that information is reviewed, any specific health issues can be identified and addressed so that you can be provided the best and safest oral surgery possible.  In a small number of cases it may be necessary for you to see your physician for a preoperative exam.  Examples of common issues requiring preoperative management are patients on blood thinners or with artificial joints, but there are multiple others.  If you have any questions please call us at 1-Willmar Office Phone Number 800-337-1778 and our staff would be happy to discuss them with you.

Authorization to Release Health Care Information 2012