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Tri-County Oral-Facial Surgeons, Pennsylvania
Tri-County Oral-Facial Surgeons

Jack Haven

Patient Registration

You are welcome to fill out our online registration and health history forms prior to your consultation visit with us. Filling out these forms prior to your visit with us will save you time in our office. Just click the submit button when you are finished and they will be sent to us in an SSL (secure socket layer) email format.

State College Office

Lewistown Office

Lock Haven Office

Please Note:

Our online forms use the Adobe Acrobat 5 Plugin to allow patients the convenience of completing their health history and registration forms from home or work. Please download the free plugin from Adobe's web site if it is not already installed on your system. It is important that you have version 5 of the plugin, in order to successfully use our forms.











Photo courtesy of Jack Haven, Commonwealth of Pennsylvania 2002