Patient Registration
Please arrive no more than 10 minutes prior to your scheduled appointment time.
Included in the packet are the following forms:
- Patient Registration Form
- Health Questionnaire
- Privacy Practice Notice
- Financial Policy Disclosure & Agreement
- COVID-19 Notice
In order to minimize the exchange of papers and materials, we now require that you email your:
- Insurance cards and/or information
- Referring dentist’s treatment referral form
- Any appropriate x-rays.
These must be sent to our office prior to scheduling your consultation appointment
© 2022
Rockville, Gaithersburg,Clarksburg, Damascus, Urbana, Federick MD
Germantown Oral & Facial Surgery Center • Address: 19717 Executive Park Circle Germantown MD 20874 • Phone: (301) 916-0486 • Fax: (301) 916-0489
LeftRight
