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



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

Anonymous

Read more reviews



Dr Jackson is great. My experience was great

James C.

Read more reviews



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.

Read more reviews



Courteous staff. Quick procedure. Painless

Trinity E.

Read more reviews



Excellent, professional care at this facility.

Jerman F.

Read more reviews



It was the best experience. The workers were very friendly and made me feel comfortable.

Gertiude O.

Read more reviews



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.

Read more reviews



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.

Read more reviews



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.

Read more reviews



We love Dr.LaBriola he was so gentle with my daughter when she had her wisdom teeth out. Both of my daughter’s friends went to him too and they said the same thing 😊

Zhulieta D.

Read more reviews



Unfortunately we had to be seen for an emergency situation. Dr. Haron was very thorough with informing us of what was to be expected. He was spot on with what happened and what he told us to expect. His calm, gentle demeanor was quite settling for us.

Anonymous

Read more reviews



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

Read more reviews



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 off…

Kassandra M.

Read more reviews



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

Anonymous

Read more reviews



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.

Read more reviews



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.

Read more reviews



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.

Read more reviews



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.

Read more reviews



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…

Shermaine F.

Read more reviews



We love Dr.LaBriola he was so gentle with my daughter when she had her wisdom teeth out. Both of my daughter’s friends went to him too and they said the same thing

Zhulieta D.

Read more reviews

Request an appointment today

Request an Appointment Online

Site Navigation