Shelhamer Oral & Maxillofacial Surgery
Carlsbad, CA
(760) 448-2228
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    • Introduction
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  • Meet Us
    • Meet the Doctor
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    • Office Tour
  • Surgical Instructions
    • Before Anesthesia
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    • Wisdom Tooth Removal
    • Exposure of an Impacted Tooth
    • Extractions
    • Multiple Extractions
  • Referring Doctors
    • Referral Information
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    • Contact Information / Office Map

Patient Information

  • Introduction
  • First Visit
  • Scheduling
  • Financial Policy
  • Insurance
  • Online Videos
  • Patient Registration
  • Patient Reviews

Patient Registration

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 Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Patient Registration

Note to Patient: Upon filling out your first name, last name, email and at least one phone number field (a valid home or cell phone) a button will appear in the upper right corner titled “Save and Exit“. This button allows you to save and exit your form to complete at a later date. The system will send a registration email to the email provided on the form, so that you may setup a login to go back and finalize your registration form online.

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Shelhamer Oral & Maxillofacial Surgery • Address: 6221 Metropolitan Street, Suite 103 Carlsbad CA 92009 • Phone: Carlsbad Office Phone Number (760) 448-2228 • Fax: (760) 448-2232

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