For your convenience, register with our office by selecting the Registration Forms button below, and filling out our secure forms.
• After you have completed the form, make sure to press the Complete and Send button at the bottom.
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
- Surgical Referral Slip
- Any necessary applicable x-rays
Crystal Lake Oral & Maxillofacial Surgery
Doctors Conlon, Bruksch, Ozment, Richard, Fay and Schmidt
690 N. Route 31
Crystal Lake, IL 60012
Monday – Friday 8:00 am – 5:00 pm
Saturday 8:00 am – noon
Hours may vary occasionally due to hospital surgery and emergencies.