Call our office today to schedule your appointment!

eye glasses on form

Patient Registration

Please pre-register electronically with our office by filling out our secure online patient registration forms. Please be sure to sign ALL required fields where prompted prior to completing and sending the forms. After all forms have been completed, please be sure to press the complete and send button at the bottom to automatically forward us your information. The security and privacy of your personal data is our primary concern and we have taken every precaution to ensure its protection.
Click Here for Registration Forms
Call 617-300-0345 to schedule an appointment.

Contact our office today to schedule your appointment!

Thank you for choosing Lucca Oral and Facial Surgery! Please complete the appointment request form below and a team member will contact you. Please do not communicate any private health information on this form.

185 Dartmouth St, Suite 403 Boston, MA 02116
Appointment Request
First Name
Last Name