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Electronic Submission Consent

I acknowledge that the information I am submitting may include protected health information ("PHI") as defined under the Health Insurance Portability and Accountability Act ("HIPAA"). I understand that this information will be transmitted electronically to the healthcare practice I have selected. By checking this box, I consent to the electronic submission and transmission of my information for the purpose of requesting an appointment or related services. Further, you represent that you have the authority to make this acknowledgement, either as the individual for whom this form is intended or as the personal representative of such user. I understand that while this form uses encryption to protect my information during transmission, no electronic communication can be guaranteed to be fully secure. For more information about Koslin & Kahn Oral & Facial Surgery's privacy policy, please see our privacy policy.
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Address

Hoover Location
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2036 Patton Chapel Road

Hoover, AL 35216

Phone

phone
205-979-9738

Fax

icon-fax
205-979-9760
Jasper Location
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1208 Highway 78 East

Jasper, AL 35501

Phone

phone
205-387-9122
Clanton Location
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402 2nd Avenue North

Clanton, AL 35045

Phone

phone
205-979-9738

Fax

icon-fax
205-979-9760

Hours

Mon:

8:00 AM

 - 

5:00 PM

Tue:

8:00 AM

 - 

5:00 PM

Wed:

8:00 AM

 - 

5:00 PM

Thu:

8:00 AM

 - 

5:00 PM

Fri:

8:00 AM

 - 

12:00 PM

Mon:

8:00 AM

 - 

5:00 PM

Tue:

8:00 AM

 - 

5:00 PM

Wed:

8:00 AM

 - 

5:00 PM

Thu:

8:00 AM

 - 

5:00 PM

Fri:

8:00 AM

 - 

12:00 PM

Mon:

8:00 AM

 - 

5:00 PM

Tue:

8:00 AM

 - 

5:00 PM

Wed:

8:00 AM

 - 

5:00 PM

Thu:

8:00 AM

 - 

5:00 PM

Fri:

8:00 AM

 - 

12:00 PM

Koslin & Kahn Oral & Facial Surgery Reviews

Great experience all around from the front office to the surgeon & his staff. Pleasant conversation, professional, kind & funny even while extracting my tooth. Highly recommend Dr. Bannon & his staff.

T.L. Google

Very good job. Dr kept me completely informed the entire time during the procedure. Thank you

R.C. Google

Dr Bannon and staff are kind and caring. I highly recommend them for dental and jaw related procedures.

T.M. Google

I was so pleased from the moment I limped inside the building til I left the building. Everyone was Warm-hearted, kind, patient and caring about my needs and my situation. They took the time to answer any questions I had. The facility was also clean and refreshing.

L.M. Google

Staff friendly and professional. Always willing to answer questions and makes you feel like you matter. Would highly recommend.

K.M. Google

688

Total Reviews

5

Average Rating

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All Reviews