For Our New Patients
First Visit to Georgia Facial & Oral Surgery
Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Occasionally, surgery can be performed the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.
Please assist us by providing the following information at the time of your consultation:
- Your surgical referral slip and any x-rays if applicable.
- A list of medications you are presently taking.
- If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.
IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit.
A preoperative consultation and physical examination is mandatory for patients undergoing IV anesthesia for surgery. Please have nothing to eat or drink eight hours prior to your surgery. You will also need an adult to drive you home.
Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.).
If your dentist or physician has taken x-rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.
New Patient Registration Form
You will need to pre-register with our office by completing our online registration form. This secure online system enables a more accurate form completion process. This presentation will save you time! It eliminates the need for you to fill out traditional health care forms in our office. On your first visit to our office, we will have your completed form available for your signature.
If you are not able to complete this before your appointment, please arrive 15–30 minutes early to complete your forms.
You will be asked to sign an acknowledgement that you have reviewed our “Notice of Privacy Practices for Protected Health Information” when you arrive in the office.
Please take time to review the Notice of Privacy Practices for Protected Health Information document.
This forms is in PDF format. If you do not have Adobe Reader installed on your computer, you may download Acrobat Reader for free and use it to access this form.