Timothy C. Lang, DDS, MD, PhD
Oral Surgery
Indian Harbour Beach, FL
(321) 777-2166
  • Home
  • Patient Information
    • Introduction
    • First Visit
    • Scheduling
    • Financial Policy
    • Insurance
    • Office News
    • Online Videos
    • Radiographic Imaging
    • Patient Registration
    • Patient Feedback
    • Privacy Policy
  • Procedures
    • Dental Implants
    • Bone Grafting
    • Wisdom Teeth
    • Facial Trauma
    • Jaw Surgery
    • Pre-prosthetic Surgery
    • Oral Pathology
    • Exposure of Impacted Teeth
  • Meet Us
    • Meet the Doctor
    • Meet the Staff
    • Office Tour
  • Surgical Instructions
    • Before Anesthesia
    • Dental Implant Surgery
    • Wisdom Tooth Removal
    • Exposure of an Impacted Tooth
    • Extractions
    • Multiple Extractions
  • Referring Doctors
    • Referral Form
    • Links of Interest
  • Contact Us
    • Contact Information / Office Map

Patient Information

  • Introduction
  • First Visit
  • Scheduling
  • Financial Policy
  • Insurance
  • Office News
  • Online Videos
  • Radiographic Imaging
  • Patient Registration
  • Patient Feedback
  • Privacy Policy

Online Patient Registration

You may preregister with our office by taking our online patient interview. You will be presented with an interactive question and answer presentation that facilitates form completion. This narrated interview system enables a more accurate form completion process. This presentation will save you time! It eliminates the need for you to fill out traditional health care forms in our office.

When you are ready to begin, click the "Register Online Now" button below. A simple question and answer process will commence. After you have completed the interview, the patient information collected is securely encrypted and sent to our office.

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.

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Serving The Following Florida Cities:
Melbourne FL • Suntree Viera FL • Rockledge FL • Titusville FL • Palm Bay FL • Cocoa Beach FL


Address: 2030 South Patrick Drive #1 • Indian Harbour Beach, FL 32937 • Phone: (321) 777-2166


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