GERMANTOWN ORAL & FACIAL SURGERY CENTER

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19717 EXECUTIVE PARK CIRCLE
GERMANTOWN, MD 20874

Patient Registration

PATIENT REGISTRATION

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

  1. 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
Germantown Oral & Facial Surgery Center • Address: 19717 Executive Park Circle Germantown MD 20874  • Phone: (301) 916-0486  • Fax: (301) 916-0489 
© 2025.
All rights reserved. | Germantown Oral and Facial Surgery • MD Specialty Dental Services, LLC - Kenneth Wu and Mathew Woodward, DDS.
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