Drs. Barringer and Crestetto, PA
Oral & Maxillofacial Surgery
901 North Winstead Avenue, Suite 130, Rocky Mount, NC 27804
P: 252.443.7331 • F: 252.937.2381

Online Patient Registration

  • MAC users must open/submit the below form in a SAFARI browser ONLY!

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. 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.

Technical Note:

PC Users

Our online form uses the latest version of Adobe Acrobat Reader to conveniently submit the form from home or work. Please download the free plug-in from Adobe’s web site if it is not already installed on your system. It is important that you have the latest version of Adobe Acrobat Reader to successfully use our online form.

Mac Users

You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please download the free plug-in from Adobe's web site.