GERMANTOWN ORAL & FACIAL SURGERY CENTER


19717 EXECUTIVE PARK CIRCLE
GERMANTOWN, MD 20874

Patient Information

Patient Registration

Please arrive no more than 10 minutes prior to your scheduled appointment time.

patient registration forms start herePlease click this link for the full Patient Registration Packet

Included in the packet are the following forms:

  • Patient Information
  • Health Questionnaire
  • Privacy Practice Notice
  • Financial Policy Disclosure & Agreement

In order to minimize the exchange of papers and materials, we now require that you email your:

  1. Insurance cards and/or information
  2. Referring dentist’s treatment referral form
  3. Any appropriate x-rays.

These must be sent to our office prior to scheduling your consultation appointment

Rockville, Gaithersburg,Clarksburg, Damascus, Urbana, Federick MD
© 2023. All rights reserved. | Germantown Oral and Facial Surgery • MD Specialty Dental Services, LLC - Eric Wu, DDS | Hosted by Specialty Dental Brands™.
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