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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Went here for a second consult on my sons wisdom teeth removal. The staff at the front desk was very friendly and welcoming. Dr. Zadeh was very friendly and informative. After our consult visit I decided to go with this practice. The day of the surgery went very smooth. This practice is very organized and everyone worked together as a unified team to ensure that from start to finish there were no…

Jamie B.

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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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Excellent service at a reasonable price. I had to have surgery right away, and they got me inside, got the surgery for much less than I expected to be charged and had an issue later when I got home. The Doctor called me herself, and followed up with me two more times to make sure everything was okay. There was very little pain and the swelling went down when they said it would, I highly recommend…

James M.

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Despite all my nerves, my experience was really great! The staff was very helpful and patient with me and they were easy to talk to. I had minimal pain and discomfort during and after my wisdom teeth extraction. I healed surprisingly fast after the procedure, too! I would absolutely recommend to a friend or to someone who is looking for an oral surgeon!

Ilana D.

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I had 4 teeth removed and was very nervous but they made me feel comfortable I will use them again. I have no pain today and it’s only been 24 hours.

Sherrie K.

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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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Staff is professional and friendly which made my visit comfortable.

Brenda 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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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.

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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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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.

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

Suzanne D.

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Great staff. Dr. Jackson was also great. Very professional but personable and answered all my questions with patience.

Melissa K.

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

Anonymous

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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 staff

Anonymous

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Excellent staff who were courteous and knowledgeable.

Anonymous

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I visited the Woodbridge office to have my wisdom teeth extracted. The experience was wonderful. The staff and Dr. Zadeh were professional and kind and did an excellent job. I would highly recommend them.

Anonymous

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