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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This letter is to follow-up with you sharing my experience before and after regarding being diagnosed at your office with Arthritis and describing pain in my jaw, ear, and neck pain etc. In the course of about a year, I went to urgent care, ear and throat specialists, twice to a dentist, two times to a primary care provider, had a sleep apnea test, hearing test and finally coming to your practice.…

Cecilia G.

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Dr Haron is very professional He and the staff took very good care of me. Dr went out of his way to make sure I was taken care of and not in any pain.

Catherine L.

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Office is professional, pleasant and efficient. Dr. Labriola and the staff are great.

Suzanne D.

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

Pamela M.

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Excellent staff who were courteous and knowledgeable.

Anonymous

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Dr. Jackson takes the time to get to know her patients before the surgical procedure starts. She thoroughly explained the steps of the procedure. She addressed every concern and answered all my questions before the procedure started. She is AWESOME!!

Julia A.

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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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I was overall impressed by the friendliness and professionalism of the staff from reception all through checkout. I was seen by Dr. Haron, he was extremely pleasant and knowledgeable. He answered all my questions and provided me with several options. He was very straight forward in regards to what each option will offer and the chances of success. I highly recommend NVOMSA.

Amer G.

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Great sevice from wonderful individuals-thanks

David M.

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I had all 4 wisdom teeth removed yesterday by Dr. Zadeh. I was very nervous because this was my first surgery ever. All of the staff was was great and explained every step including the sedation process and aftercare instructions. Before I took any medication, my pain was a 3/4 out of 10. This was a very positive experience and I highly recommend this practice.

Deandras W.

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It was an excellent experience. The staff was very helpful and cooperative. The doctor was very knowledgeable and kind. The doctor explained all the procedures and the steps plus his personal recommendations as if he was me, the patient.

Aly S.

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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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I received excellent treatment. I would highly recommend this oral surgeon.

Antonio M.

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My experience at the Norther Virginia Oral and Maxillofacial Surgery Associates in Annandale was awesome. The staff were incredibly friendly and professional. The facility was well-organized and clean. Everyone was well-informed and answered my questions. I was really put to ease during the entire process.

Chanel D.

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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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Dr. Zadeh is not only a very qualified oral surgeon, he is a very warm and easy to communicate with kind of person. I had a lower canine that had been root-canaled some time ago and ended up having a painful infection. He took out my infected tooth like he pulled out a needle from a butter, not feeling any pain at all. He then placed an imediate implant. He is very efficient in using his time and…

Zufan H.

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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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DR. LaBriola and his assistants Gaby and Constance were excellent…

William J.

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I had an abscess beneath my right back molar. The pain was unbearable. I was referred by a friend to NOVA Oral & Maxillofacial Surgery Associates by a friend. I couldn’t have been happier about my treatment, procedure and outcome. I am now pain-free. I was very impressed with the staff and service. In fact, I am about to schedule another appointment with them to install an implant for t…

Rob M.

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Dr. Zadeh is not only a very qualified oral surgeon, he is a very warm and easy to communicate with kind of person. I had a lower canine that had been root-canaled some time ago and ended up having a painful infection. He took out my infected tooth like he pulled out a needle from a butter, not feeling any pain at all. He then placed an imediate implant. He is very efficient in using his time and…

Zufan H.

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