Health Questionnaire & Info

• Introduction
• First Visit
• Scheduling
• Insurance & Financial Information
• What does it mean to be board certified?
• Privacy Policy
• Online Videos
• What our patients say about us
• What's new at East Lyme Oral & Maxillofacial Surgery?
• 16-24 year old patients
• Health Questionnaire & Patient Registration

Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Occasionally, surgery can be performed the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.

Please assist us by providing the following information at the time of your consultation:

• Your surgical referral slip and any x-rays if applicable.
• A list of medications you are presently taking.
• If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.  Please bring both your medical and dental insurance cards with you to your appointment.

IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit.

A preoperative consultation and examination is mandatory for patients undergoing IV anesthesia for surgery.

Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e., diabetes, high blood pressure, artificial heart valves and joints, asthma, etc.) or if you are currently taking any medication (i.e., heart medications, aspirin, anticoagulant therapy, bone density medications, etc.).

X-Rays