Patient Forms
THE FOLLOWING MUST BE COMPLETED TO SCHEDULE FOR DENTAL SURGERY:
- Complete this Medical Clearance Form. 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.
