WELCOME TO FIRST COAST OMS

YOUR JACKSONVILLE ORAL SURGEON

REFERRED PATIENTS

Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Occasionally, surgery can be performed the same day as the consultation. However, a complex medical history or treatment plan may require an evaluation and a second appointment to provide treatment on another day.  If you plan to have IV sedation for your surgery, please have nothing to eat or drink eight hours prior to your surgery. You will also need an adult to drive you home.

 

Patient Referral Form

Referring Doctor's Information

Patient's Information

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Upload X-Rays & Photos
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To the best of my knowledge, the questions on this form have been accurately answered. I understand that providing incorrect information can be dangerous to my (or patient's) health. It is my responsibility to inform the dental office of any changes in medical status.

SEND REFERRAL FORMS TO:

If you prefer to submit your referral via paper form, please download the referral form below and return it to our office.

Return all forms to: 

JACKSONVILLE
7711 Baymeadows Rd. E #7
Jacksonville, FL 32256


Phone: (904) 565-1505
Fax: (904) 565-1506
Email: info@firstcoastoms.com

Thank you!

AMELIA ISLAND
960115 Gateway Boulevard #1

Amelia Island, FL 32034


Phone: (904) 491-0111
Fax: (904) 491-0222
Email: info@firstcoastoms.com

REFERRING DOCTOR'S X-RAYS

If your dentist or physician has taken x-rays you may request that they forward them to our office. Simply have your dentist’s office email the films to info@firstcoastoms.com If additional films are necessary they can be taken at our facility.

Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Occasionally, surgery can be performed the same day as the consultation. However, a complex medical history or treatment plan may require an evaluation and a second appointment to provide treatment on another day.  If you plan to have IV sedation for your surgery, please have nothing to eat or drink eight hours prior to your surgery. You will also need an adult to drive you home.

 

**IMPORTANT: All patients under the age of 18 must be accompanied by a parent or guardian at the consultation visit.

 

Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medications (i.e., heart medications, aspirin, anticoagulant therapy, etc.).

 
FIRST COAST ORAL & MAXILLOFACIAL SURGERY 

 

Jacksonville Oral Surgeons, Dr. Andrew L. Skigen and Dr. Anthony Massaro, manage a wide variety of problems relating to the mouth, teeth and facial regions. For more information about the oral and maxillofacial surgery services we provide, or to schedule a consultation, click the button below! You can also call our Jacksonville, FL office to talk to a team member!

Helpful Links

© 2020 First Coast Oral & Maxillofacial Surgery

Site Designed and Maintained  by Bailey Bruce Creative

Jacksonville

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Office Hours

7711 Baymeadows Rd E. #7
Jacksonville, FL 32256

Fax: 904-565-1506

(904)565-1505

8 AM - 4 PM

8 AM - 4 PM

8 AM - 4 PM

8 AM - 4 PM

8 AM - 12 PM

Lake City

Monday:         

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Thursday:       

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Office Hours

1779 SW Barnett Way, #103

Lake City, FL 32025

Fax: 904-565-1506

(386) 243-8343

8 AM - 4 PM

8 AM - 4 PM

8 AM - 4 PM

8 AM - 4 PM

8 AM - 12 PM

Amelia Island 

Monday:         

Tuesday:       

Wednesday:  

Thursday:       

Friday:             

Office Hours

960115 Gateway Boulevard #1

Amelia Island, FL 32034

Fax: 904-491-0222

(904)491-0111

9 AM - 3 PM

9 AM - 3 PM
9 AM - 3 PM
9 AM - 3 PM

9 AM - 3 PM

Proudly serving Jacksonville, Lake City, Amelia Island,  and the surrounding areas:

Jacksonville FL • Amelia Island FL • St. Johns, FL • Ponte Vedra FL • Nocatee FL • Lake City FL • O'Neil FL • Yulee FL • Fernandina Beach FL• Callahan FL • Orange Park FL • Palm Coast FL • St. Augustine FL • Gainesville FL • Kingsland GA • Brunswick GA • Wellborn FL • White Springs FL • Lulu FL • Alachua FL • Macclenny FL • Live Oak FL

© 2020 by First Coast OMS. Proudly created by Bailey Bruce Creative