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Appointment Request

Call (702) 258-0085

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.


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

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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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