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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Courteous, explain options in detail

Susan L.

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Excellent, professional care at this facility.

Jerman F.

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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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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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By far the best experience I have had. My procedure was quick and I was in and out. Everyone was very nice and helped ease my nerves. I couldn’t have asked for a better experience. Dr. Zadeh is the best!

Nakeecha W.

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Dr Jackson is great. My experience was great

James C.

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Everything was great! From beginning to end! Any questions I had and any concerns they were all addressed and they did everything they could to make me as comfortable as possible.

Nicole D.

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

Dimitri G.

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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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Great staff!, Doctor Jackson was amazing made getting my wisdom teeth out a great experience!

Sara B.

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

Suzanne D.

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Very pleasant and helpful people. The doctor that did my daughters surgery explained everything. Has a great bedside manner. Just want to thank them for all they do. I pray many blessings over you all.

Connie D.

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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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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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Great customer service. Doctor was very informative and made procedure as painless as possible. Staff is very welcoming

Anonymous

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Had my wisdom teeth extracted yesterday and opted out of sedation. Needless to say, I was a bit nervous. But after 25 minutes I was checking out and felt great. I couldn’t talk much, but the entire process was fast and efficient. Now 24 hours later, I’m thinking I would be perfectly fine to go back to work tomorrow morning! I am very appreciative that I was recommended to this OMFS office.

Kassandra M.

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Oh wow I’m so happy that I went there to extract my tooth.as soon as the dentist start he was done I was so surprised.my detist refer me there because I have high blood pressure he said that he didn’t want to risk taking the tooth out because it’s possible I will have complications.I’m very happy that I went there.I don’t remember the dentist name but he was wonderful in extracting my to…

Shermaine F.

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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 the e…

Rob M.

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