Patient Registration
Please arrive no more than 10 minutes prior to your scheduled appointment time.
Please click each form below and COMPLETE the full Patient Registration Packet
Included in the packet are the following forms:
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
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