You should fill out the Patient Intake Form before you come in. Your surgeon can advise you if there are more forms you need to fill during or after your first appointment.
For all patients
- Records Request Form This is the form that gives your surgeon permission to get your medical records.
For cleft lip and palate patients
- Alveolar Bone Graft Information
- Cleft Lip Adhesion Discharge Instructions
- Cleft Lip Discharge Instructions
- Cleft Palate Repair Discharge Instructions
- Pharyngeal Flap Information
Para pacientes con labio leporino y paladar hendido
- Injerto Óseo Alveolar (Español)
- Instrucciones de alta para la adhesión labial (Español)
- Instrucciones de alta de la reparación de labio leporino (Español)
- Instrucciones de alta para la reparación del paladar hendido (Español)
- Colgajo Faríngeo (Español)
Payment Options
We accept payment by cash, check or credit card. Unfortunately, no financing or loans are available.
For certain medically necessary procedures, we accept a variety of insurance plans. Call 443-997-9466 for more information. You can also contact your insurance company to find out if they cover specific procedures.