Downloadable Forms

To reduce your waiting time during your visit, we have provided several forms that you can download, read (and where appropriate, complete and sign) and bring with you. Please see the instructions included on each form.

These forms require the Adobe Acrobat Reader.

Download Acrobat Reader

Downloads

Patient Information and Medical Record

For all new and existing patients. Please complete the online registration form for the office you scheduled an appointment with for your surgical care. Annandale Woodbridge Manassas

Our payment policy

An explanation of the payment policy of Northern Virginia Oral and Maxillofacial Surgery Associates, including options for payment and insurance filing. Please print, read carefully and sign, and bring with you on your visit. Download

Authorization to Release Health Care Information

For any patient who wants to authorize our practice to release their medical information to a third party. Please complete and sign, and mail or deliver to our office. Download

Notice of Privacy Practices for Protected Health Information

A summary of the rules protecting the privacy of your medical information. Please print, read carefully, complete and sign, and bring with you on your visit. Download

Request for Medical / Dental Record

The purpose of this letter is to request copies of your medical records as allowed by the Health Insurance Portability and Accountability Act (HIPAA) and Department of Health and Human Services regulations. Download

CareCredit

CareCredit is a healthcare credit card designed for your health and wellness needs. Pay for the costs of many treatments and procedures through convenient monthly payments.

Three Convenient Locations to Serve You

We have three locations in the Northern Virginia area including Annandale, Manassas and Woodbridge. To find an office near you, click the link below.

Find your location

Our patients leave smiling

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Very professional and knowledgeable staff. I would 100% recommend this practice. The staff very thoroughly communicated with us, not only about the procedures, but also about the billing. I felt like my son was in the best hands for his wisdom teeth extraction. Thank you for making this a smooth process!

Anonymous

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My son recently got his wisdom teeth extracted. Dr. Zaheh made my son feel very comfortable and relaxed. The procedure did not last long at all which led to a quick recovery. My son had absolutely no swelling which was unbelievable! He hardly experienced any pain either. He went out with friends a few days later and will recommend others to Dr. Zadeh!

Darlene Y.

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I was very pleased with my experience. Everyone is very personable and calm. All of the staff made me feel welcome and comfortable

Shelley R.

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Everyone in the office was very friendly and informative. Dr. Zadeh is a wonderful oral surgeon. He puts you at ease and explains everything very well. My recovery went exceedingly well, which was a testament to his expertise.

Anthony W.

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Great experience. Everyone was calm and very reassuring during both my consultation and wisdom teeth removal visit. Despite my anxiety, everyone spent their time seeing if I had questions and tried to create a relaxing atmosphere before I had to go through with the surgery. Highly recommend anyone coming here. Clean and modern office with a 10/10 experience throughout.

Jennifer T.

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The staff were very helpful and friendly. Dr. Yadav was excellent and his assistantance were great.

Hazel B.

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The staff there is amazing at the Annandale location. I was getting my wisdom teeth removed (2 before but just did all 4) and I was so nervous about it. Everyone is nice and helped me calmed down. Very surprised that it felt really quick :)

Sharie B.

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It such a pleasure working with Dr. Jackson and the crew. You all are amazing.

Maria S.

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Courteous, explain options in detail

Susan L.

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I had a wonderful experience. Before the surgery I was very nervous but the surgeon and dental hygienist made me feel a little more comfortable for the procedure.

Meshala M.

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Referred here after my first dentist wasn’t comfortable taking out my lower wisdoms. They fit me in the schedule same day and before I knew it, I was done and recovering.

Te-von H.

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Dr. LaBriola and the staff are the BEST!!!! So attentive and patient with clients like myself who require a little extra TLC!!

Tina B.

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Dr. Jackson was extremely professional, patient, informative as well as friendly and enjoyable. She explained everything in great detail before my procedure. My personal dentist, Dr. Jones, recommended her. I knew if Dr. Jones recommended her she had to be great. My procedure was exactly as she explained. Her assistant Rosemary was also wonderful. I highly recommend Dr. Jackson to anyone reading t…

Maria S.

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Best oral surgeon office in the DC area! Dr. LaBriloa is an amazing doctor and is the greatest!

Dimitri G.

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Everyone friendly, helpful, knowledgeable , professional . No problem with scheduling. Had extraction with no ensuing pain, swelling or discoloration. Dr LaBriola was my dental surgeon, EXCELLENT!

Anonymous

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Was able to be seen on very short notice – referred from primary dentist. Each of the four or five office staff members plus the dental assistants and the doctor I saw were courteous and professional and each clearly very knowledgeable in their respective areas. Evaluation and explanation of my needs was quick, efficient, thorough and clearly explained. I can’t imagine a better oral su…

Dan E.

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The staff was very nice and helpful at each step of the way. Dr. Labriola is terrific, just as I remembered him.

Anonymous

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Dental procedure went well. I am very pleased with how I was treated by the staff.

Anonymous

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Excellent surgeon, dental assistant and front desk staff. Thank you! *Updated 6/27/17

Pamela M.

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It is my first time in this place I was treated with a professional the girls who are at the front all very kindly make it feel like at home very friendly nurses and doctors

Marta H.

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