Advance Oral & Maxillofacial Surgery
Steven A. Saxe, DMD
Board Certified NV specialty license S2-20
Call: (702) 258-0085

Appointment Request

Las Vegas, Nevada Oral & Maxillofacial Surgeon - Steven A. Saxe, DMD

Advance Oral & Maxillofacial Surgery  (702) 258-0085     


 If you are filling out an online request or have an appointment scheduled already, please click on this link to print out New Patient Paperwork.  Bring the filled out paperwork to your appointment along with your referral, x-rays, Picture ID, Insurance card(s) and list of medications.

Cancellation Policy
If you are unable to keep your appointment, kindly call the office
at least 24 hours prior to your appointment. A missed appointment fee will apply if notice is not given.

Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

PRIVILEGED & CONFIDENTIAL
This email contains confidential information, which may also be legally privileged and which is intended only for the use of the individual of entity name above. If the reader of the email is not the intended recipient or an employee or agent responsible for delivering it to the recipient, you are hereby on notice that you are in possession of confidential and privileged information. Any dissemination, distribution or copying of this email strictly prohibited.

PROHIBITION ON REDISCLOSURE
This information has been disclosed to you from records protected by Federal Confidentiality Rules (42 CRF Part 2). The Federal rules prohibit you from making any further disclosure of this information unless further disclosure is expressly permitted by the written consent of the person to whom it pertains or otherwise permitted The Federal rules restrict any use of the information to criminally investigate or prosecute any alcohol or drug abuse patient.

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