Patient Information

First Oral Surgery Visit

When you first visit our practice, we will conduct a thorough examination of your condition and health history. We will take any necessary 3D scans or X-rays to help us determine the best treatment plan for your individual needs. This initial appointment is an important part of your treatment as it allows our oral surgeons to get to know you as well as all the details essential for providing you with the best care. Our friendly staff will help in scheduling your appointment.

Once your consultation is confirmed, it’s important to review the following information before your arrival to ensure you are prepared:

A parent or legal guardian must accompany patients under the age of 18 for all appointments.

To help us stay on schedule, we ask that you arrive a few minutes early to all appointments so you can fill out any outstanding paperwork. If you're not sure how to obtain your X-rays or whether your dentist has sent them over, please contact our office so our staff can assist you in acquiring them. We are always happy to help and answer your questions.

Thank you for taking the time to review this important information, and we look forward to meeting you.


At Park Cities Oral & Maxillofacial Surgery Associates, we are proud to offer our patients a variety of options for sedation to ensure they are comfortable throughout treatment.

3D Imaging

Our practice uses the latest technology to obtain 3D images of your condition, which allows us develop an accurate and detailed plan for your procedure.

Surgical Instructions

Many patients that visit our office for care have never undergone surgery before, and they often have questions about how to prepare or how to care for themselves after the procedure. Our office is happy to provide all our patients with both pre- and post-operative instructions. These instructions contain guidelines for patients to follow that will help ensure they have the best treatment experience possible.

Practice Forms

Save some time when you come in. Register for your appointment online now.

Financial & Insurance Information

At our practice in Dallas, TX, we do our best to provide patients with as many options as possible for payment and insurance purposes. At Park Cities Oral & Maxillofacial Surgery Associates, our staff is more than happy to assist you with inquiries about estimates of costs or payment for all appointments. Our office accepts many methods of payment, including the following:

All consultation and oral surgery costs are due at the time of your visit. If you're interested in a payment plan, it must be agreed upon before your surgical appointment. Our staff is more than happy to assist you. Please call us at (214) 363-2475 if you'd like to discuss your payment options in more detail or to set up a payment plan.

We make every effort to collaborate with most insurance providers to arrange for reimbursement for your patient care. Please remember that you are responsible for the full balance at the time of surgery. We will send a monthly statement to your address reflecting your payment with your insurance policy. Most insurance companies will respond in four to six weeks, but any remaining balance after your reimbursement is your responsibility. Please contact our office to address financial questions or concerns before your procedure. We suggest you bring your insurance information, a valid photo ID, and a medical card to your consultation help us begin the insurance billing process.

Thank you for taking the time to view the information above, and we look forward to assisting you.

Privacy Policy

Statement of Privacy Practices

Our office is dedicated to protecting the privacy rights of our patients and the confidential information entrusted to us. It is a requirement of this practice that every employee receive appropriate training and is dedicated to the principal concept that your health information shall never be compromised. We may, from time to time, amend our privacy policies and practices but will always inform you of any changes that might affect our obligations and your rights.


We use and disclose the information we collect from you only as allowed by the Health Insurance Portability and Accountability Act (HIPAA) and the state of Texas. This includes issues relating to your treatment, payment, and our healthcare operations. Your personal health information will never be otherwise given or disclosed to anyone — even family members — without your consent or written authorization. You, of course, may give written authorization for us to disclose your information to anyone you choose, for any purpose.

Our offices and electronic systems are secure from unauthorized access, and our employees are trained to make sure that the confidentiality, integrity, and access to your records is always protected. Our privacy policy and practices apply to all former, current, and future patients, so you can be confident that your protected health information will never be improperly disclosed or released.


We will only request personal information needed to provide our standard of quality health care, implement payment activities, conduct normal health practice operations, and comply with the law. This may include your name, address, telephone number(s), social security number, employment data, medical history, health records, etc. While most of the information will be collected from you, we may obtain information from third parties if it is deemed necessary. Regardless of the source, your personal information will always be protected to the full extent of the law.


As stated above, we may disclose information as required by law. We are obligated to provide information to law enforcement and government officials under certain circumstances. We will not use our information for marketing or fundraising purposes without your written consent. We may use and/or disclose your health information to communicate reminders about your appointments, including voicemail messages, answering machines, and postcards, unless you direct us otherwise. We will never use, disclose, sell, or otherwise allow access to your personal, protected information in exchange for or receipt of financial remuneration.

Any breach in the protection of your personal health information, including unauthorized acquisition, access, use, or disclosure, will be fully investigated, addressed, and mitigated as established by the HIPAA Privacy Breach Notification Rule. You have a right to and will be provided all information relating to any breach involving your personal PHI.


You have a right to request copies of your healthcare information, to request copies in a variety of formats, and to request a list of instances in which we, or our business associates, have disclosed your protected information for uses other than stated above. All such requests must be in writing. We may charge for your copies in an amount allowed by law. If you believe your rights have been violated, we urge you to notify us immediately. You can also notify the U.S. Department of Health and Human Services.

An expanded and complete copy of our Statement of Privacy Practices is available for your review.