Burwood Rooms

  • 56 Burwood Road
    Burwood, NSW 2134

    02 8021 2728

    02 8021 2723

    info@mobilewisdomcentre.com.au

  • westmead Rooms

  • Suite 40, Daher Centre, 163 – 171 Hawkesbury Road Westmead NSW 2145

    02 9633 4552

    02 9893 8801

    reception@westmeadomfs.com.au

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    02 8021-2728 02 8021-2728 info@wisdomcentre.com.au info@wisdomcentre.com.au
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    Patient Information

    Oral and maxillofacial surgery requires additional 4 years of hospital-based surgical and anesthesia training after graduation from dental school.

    General
    Information

    Your First Visit

    Oral & Maxillofacial Surgery of New York is open Monday through Friday from 8 a.m. until 7 p.m. We will schedule your appointment as promptly as possible. If you have pain or an emergency situation, every attempt will be made to see you that day. We try our best to stay on schedule to minimize your waiting.

    Financial Policy

    For your convenience, we accept Visa, MasterCard, American Express and Discover. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance. We also offer interest free payments. If you have questions regarding your account, please contact us at 212-480-2777. Many times, a simple telephone call will clear any misunderstandings.

    Privacy Policy

    For your convenience, we accept Visa, MasterCard, American Express and Discover. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance. We also offer interest free payments. If you have questions regarding your account, please contact us at 212-480-2777. Many times, a simple telephone call will clear any misunderstandings.

    Scheduling

    For your convenience, we accept Visa, MasterCard, American Express and Discover. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance. We also offer interest free payments. If you have questions regarding your account, please contact us at 212-480-2777. Many times, a simple telephone call will clear any misunderstandings.

    Informed
    Consent

    To provide you with a better understanding of oral surgery procedures we perform, we have provided the following multimedia presentation. Many common questions pertaining to oral surgery are discussed.

    Patient Information

    Patient
    Registration

    On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

    Personal Details

    Mr

    Mrs

    Ms

    Miss

    Dr

    Mst

    Male
    Female

    Medical Information

    I have Dental Cover
    I have Hospital Cover

    Medical History

    Please select the options you have experienced:

    Heart Trouble
    High Blood Pressure
    Excessive bleeding needing special treatment
    A Stroke
    Bronchitis or Lung Disease
    Diabetes
    Kidney Trouble
    Stomach or Bowel Problems
    Osteoporosis, Bone Cancer, Paget's Disease or Multiple Myeloma
    Have you have any radiotherapy of the head or neck?

    Additional Information (Please Specify)

     

    Rheumaic Fever
    Chest Pain
    Fits or Epilepsy
    Asthma
    Athritis
    Thyroid Trouble
    Skin Problems
    Hepatitis, Liver Trouble or HIV infection
    Have you ever taken any Bisphosphonates or equivelant Medications? eg. Fosamax, Actonel, Alendronate, Zometa?
    Are you currently pregnant? (Females Only)

    Privacy Policy

    I have read the privacy information provided. I understand that my information will be held in the consulting rooms. I am happy for reports on my condition to be sent to my referring Dentist/Doctor I am happy for copies to be sent to health professionals involved in my care.

    I understand