Patient Forms

THE FOLLOWING MUST BE COMPLETED TO SCHEDULE FOR DENTAL SURGERY:

  • Complete the Medical Clearance Form by clicking on the “resources” tab in the menu.  Have the patient’s primary care physician complete this form; this must be completed within 30 days of surgery. The practitioner will determine if any pre-operative testing is necessary. Tell the doctor about any medications, including aspirin, the patient takes on a regular basis. The patient may need to stop taking certain medications prior to surgery.
  • Please return the Medical Clearance as soon as possible to us via fax at (703) 705-2274.  Please also bring a copy with you on the day of your surgery.