Harvard Oral and Maxillofacial Surgery Forms

Appointment Request Form

For your convenience, you may use this form to request an appointment with Harvard Oral and Maxillofacial Surgery Associates, located at Massachusetts General Hospital in Boston. A scheduling associate will call you between 8 am and 5 pm the following business day to confirm your appointment and give you any additional instructions. If you prefer, you may contact our appointment desk directly by calling 617.726.2740. If this is an emergency, please call 911 or go to a local emergency room.

If you do not wish to complete this form, you can go back to the page you were on previously.

Fields marked with an * are required and must be completed to use the online request form.