Dr. Burton is your local choice for an Oral & Maxillofacial Surgeon.
He was born and raised in Cave In Rock,
and is a proud graduate of both
Southeastern Illinois College and
Southern Illinois University-Carbondale.
Patient Registration Forms
Click here to complete and submit our secure online patient registration and health history forms.
It will take a minimum of 15-20 minutes to complete these forms. You will have the ability to save the information and complete the forms later if you have a working email address, but please have them completed and submitted prior to your appointment. You will need your dental and medical insurance information/cards available before starting. You will also need your medical information, such as your list of doctors, previous surgeries and hospitalizations, and a list of all of your medications.
Once you fill in certain information (such as your name, birthdate, etc.), it will self-populate into all other areas on that form and other forms that ask for the same information. Please check all of the entries for accuracy.