Cosmetic Registration

Providing accurate medical information will help us give you the best possible advice and treatment options. Please fill out the forms prior to your appointment so that we may better serve you.

In an effort to remain compliant with the ADA (Americans with Disabilities Act), if you are having trouble filling out this form, please contact our office during business hours at Murray Oral & Facial Surgery Phone Number 530-343-1685 and we can assist you.

Cosmetic Consultation Form