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.

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

Sara B.

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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 surgery pr…

Dan E.

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

Antonio M.

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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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The surgeon and nurses were great. Very helpful in making the right decision and the after care was outstanding.

Brian R.

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

William J.

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Excellent, attentive and very skillful

Christopher G.

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

Gertiude O.

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Very friendly and professional staff. Did an excellent job with a tooth extraction I needed.

Michael S.

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I’m afraid of all doctors but this was the best experience I’ve ever had. Everyone was extremely nice, with a warm inviting atmosphere. Their manager, Kelly was patient with all of my questions and helped me without hesitation. If I hear of someone needing surgery, this is who I’d recommend.

Jon M.

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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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I was referred to NVOMSA by our family dentist, and I have t say I was very impressed with Dr. Zadeh and his staff. My son had all 4 wisdom teeth extracted and had a great experience. The procedure took about 1/2 and hour and my son is recovering very well, miniaml swelling. Overall and excellent experience. They did a great job with my son’s wisdom teeth extractions.

Jason K.

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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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