Central Maryland Oral and Maxillofacial Surgery, P.A. - Richard Nessif, DDS - Domenic Coletti, DDS, MD

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Online Patient Registration

You may preregister with our office by taking our online patient interview. You will be presented with an interactive question and answer presentation that facilitates form completion. This narrated interview system enables a more accurate form completion process. This presentation will save you time! It eliminates the need for you to fill out traditonal healthcare forms in our office.

When you are ready to begin, click the "Register Online Now" button below. A simple question and answer process will commence. After you have completed the interview, the patient information collected is securely encrypted and sent to our office.

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.

 


Surgical Instructions


Please click below to view our After Surgery Care/Post-Op Instructions.

 

 
First Visit
Your initial visit is a crucial step in the treatment planning process. During this visit, we will get to know you by reviewing your health history, performing an examination, explaining your diagnosis, and creating a treatment plan. Your consultation visit will conclude with a brief visit with one of our financial coordinators. They will go over the proposed treatment plan and the associated fees and find a convenient time to schedule your surgery.

Occasionally, surgery can be performed the same day as the consultation, should you choose to and are prepared. (You must have an escort to drive you home).

Please assist us by providing the following information at the time of your first visit:
• Referral form or letter from your referring dentist/doctor
• X-rays that have been taken by your referring dentist
• A list of all medications you are presently taking
• Picture ID
• Your dental and/or medical insurance cards
• Your completed Patient Information and Health History packet

Important: All patients under 18 years of age must be accompanied by a parent or legal guardian for consultation and surgery.
 
 
HIPPA Form
Please click below to download and print our Consent Form.
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Note: The material on this website is intended for informational purposes only and does not constitute medical advice. For specific treatment recommendations please consult a dentist or physician.

 

 
Meet Dr. Nessif Meet Dr. Coletti Meet Our Staff Virtual Office Tour