Patient Information

Welcome to Donlevy, Estess and Lohiya Oral Surgery Group!

Our skilled surgeons and caring staff are here to offer top-tier surgical care tailored to your needs. Contact us today for your consultation and feel free to call us if you have any questions that are not answered below!

Patient Forms

For your convenience, you may fill out patient forms here.

New Patient Checklist

Your first visit will consist of a consultation with one of our oral surgeons. We will take your medical history, review your x-rays and discuss your current oral health condition and needs. The doctor will evaluate this information and discuss a proposed treatment plan tailored to your individual condition.
Referral
Bring the referral from your doctor or other dentist, if applicable.
Current X-Ray
Bring a current x-ray taken within a year.
List of medications
Bring a list of all medications you are currently taking and have been taking recently.
Completed patient forms
Bring printed and signed patient forms you find above.

Post-Operative Instructions for Patients

Below you can find a list of post-operational instructions. Click the link to download the PDF:
English
Spanish

Surgical Appointment Short-Notice Cancellation Policy

If you must cancel your appointment, we respectfully request that you notify us no less than 24 hours prior to your scheduled appointment time. Missed appointments or appointments cancelled without 24-hour notice are subject to a $150.00 fee.

Locations

We have three convenient locations to serve you!

To schedule an appointment, please fill out the form below for the appropriate location or simply call us. Saturday appointments are available.

GET IN TOUCH

Request an Appointment

Patient Info
Appointment Info
Thank you! Your submission has been received!
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Logo of OM Surgery
Hours
Monday – Friday:
7:40 AM - 5:00 PM
GET IN TOUCH

Request an Appointment

Patient Info
Appointment Info
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Hours
Monday – Friday:
7:40 AM – 5:00 PM
GET IN TOUCH

Request an Appointment

Patient Info
Appointment Info
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Hours
Monday – Friday:
7:40 AM – 5:00 PM
Get directions to our office
directions
Schedule an appointment using our form
appointment
Call our office
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