Patient Center- The Oral Surgery Group

Patient Information

brush frame The Oral Surgery Group

Welcome to OMSA "The Oral Surgery Group"

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.

IMPORTANT: All patients under 18 years of age must be accompanied by a parent or guardian at all appointments. A preoperative consultation and physical examination is mandatory for patients undergoing IV anesthesia for surgery. Please have nothing to eat or drink eight hours prior to your surgery. You will also need an adult to drive you home. 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, rheumatic fever, etc.) or if you are currently taking any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.).

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 cards or information. This will save time and allow us to help you process any claims.
dental patient filling out form The Oral Surgery Group

Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Financial And Insurance Information

All financial arrangements must be completed prior to the actual procedure. For your convenience, our office accepts the following forms of payment:
  • Cash
  • Personal Check
  • Debit Card
  • HSA (Health Savings Account) Debit Card
  • Visa — MasterCard — Discover — American Express
  • CareCredit

A 50% deposit is required on or before the date of service and payment in full is due 30 days from the date of service. Payments can be made by mail, online, or by calling our Finance Department.

CareCredit is available for patients who wish to pay for treatment over an extended period of time. They offer no interest financing with low minimum monthly payment options. For additional CareCredit financing information, visit their website at

No Surprise Act/Balance Billing Disclosure

The purpose of this document is to let you know about your protections from unexpected medical bills. It also asks whether you would like to give up those protections and pay more for out-of-network care. IMPORTANT: You aren’t required to sign this form and shouldn’t sign it if you didn’t have a choice of health care provider when you received care. You can choose to get care from a provider or facility in your health plan’s network, which may cost you less. If you’d like assistance with this document, ask your provider or a patient advocate. Take a picture and/or keep a copy of this form for your records. You’re getting this notice because Oral & Maxillofacial Surgery Associates P.C. isn’t in your health plan’s network. This means the provider or facility doesn’t have an agreement with your plan.

Getting care from this provider or facility could cost you more.

If your plan covers the item or service you’re getting, federal law protects you from higher bills:

  • When you get emergency care from out-of-network providers and facilities, or
  • When an out-of-network provider treats you at an in-network hospital or ambulatory surgical center without your knowledge or consent.

Ask your health care provider or patient advocate if you need help knowing if these protections apply to you.

If you sign this form, you may pay more because:

  • You are giving up your protections under the law.
  • You may owe the full costs billed for items and services received. Patients will be “balance billed” any amounts over what your insurance company allows.
  • Your health plan might not count any of the amount you pay towards your deductible and out-of-pocket limit. Contact your health plan for more information.

You shouldn’t sign this form if you didn’t have a choice of providers when receiving care. For example, if a doctor was assigned to you with no opportunity to make a change. Before deciding whether to sign this form, you can contact your health plan to find an in-network provider or facility. If there isn’t one, your health plan might work out an agreement with this provider or facility, or another one.

Meet our friendly oral surgeons at a location convenient to you, today!

Secured By miniOrange