For Patients With Medical Concerns

All patients with complex medical histories are thoroughly evaluated before they ever arrive for a consultation or procedure at Central Lakes Oral & Facial Surgery. Our nurses on staff coordinate with the patient’s medical doctors, then consult with Dr. Roderick VanSurksum to ensure proper medical protocols and pre-treatment issues are addressed for each patient. This determines the safest way to treat the patient. To assist us in this process, we ask all patients with complex medical histories to sign a “Release of Medical Information” form. Please click the link below to print the form. Upon completing the form, including contact information for your primary medical clinic, send it to our Sartell office so that our staff may collect relevant records for the surgeon’s review.