Montgomery Oral & Facial Surgery and Washington Oral & Facial Surgery Online Patient Registration

Oral Surgery Patient Registration In Rockville MD

You may preregister with our office by filling out our secure online patient registration form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information.

On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it. After you submit the form, you will have the opportunity to securely upload and transmit images of your insurance card. Please call our office with any questions: 


Maryland Office Registration

Patient Registration

Washington Office Registration

Patient Registration

Consent for Biopsy Procedure
Consent for Dental Implant Surgery
Consent for Extraction, Graft and Implant
Consent for Extraction with Intraoral Bone Grafting
Consent for Oral Surgery and Anesthesia

Office Hours

Monday:   8:00 AM - 5:00 PM
Tuesday:   8:00 AM - 5:00 PM
Wednesday:   8:00 AM - 5:00 PM
Thursday:   8:00 AM - 5:00 PM
Friday:   8:00 AM - 5:00 PM

New Patient Information

Thank you for choosing Montgomery Oral & Facial Surgery and Washington Oral & Facial Surgery. We strive to deliver the best diagnosis and treatment that our practice has to offer. We believe that these goals can be met through a continuous and open dialogue between you and our entire team.