For your convenience, pre-register with our office by filling out our secure Online Registration Form.
• After you have completed the form, make sure to press the Complete and Send button at the bottom.
• On your first visit to our office, we will have your completed form available for your signature.
If you prefer to download and fill out forms at home, click the button below.
Please bring the following to your appointment:
- Driver’s License
- Insurance Cards
- Referral slip from dentist
- Any necessary radiographs
Huntley Oral & Maxillofacial Surgery
Doctors Conlon, Bruksch, Ozment, Richard and Fay
11650 S. Route 47
Huntley, IL 60142
Monday – Friday 8:00 am – 5:00 pm
Saturday 8:00 am – noon
Hours may vary occasionally due to hospital surgery and emergencies.