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Patient Forms

Appointments
Patients are seen on an appointment basis, and we reserve time specifically with you and the doctor. We ask that you complete an online appointment request or call (201)337-3797 in advance so that we may reserve an appointment time for you.

If you are a new patient to our office, the link below contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing forms, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please contact our office if you have any questions at all. (CLICK HERE) or on link below to download forms.

 

 

New Patient InformationDownload, Print Prior To 1st Visit

New Patient FormsDownload, Print & Complete Prior To 1st Visit


Health History FormsDownload, Print & Complete Prior To 1st Visit
Medical Release FormDownload, Print & Complete Prior To 1st Visit

HIPPA FormDownload, Print & Complete Prior To 1st Visit

Pre Op InstructionsPrintable Instructions for after operation care


Post Op InstructionsPrintable Instructions for after operation care


Post Op Instructions
After Repair of Lower Jaw Fracture
Printable Instructions for after operation care


Sinus PrecautionsPrintable Instructions for after operation care


Medical ClearancePrintable Instructions for after operation care


 

 

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Testimonials.

Read what people are saying about us.

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Testimonials

Dear Dr. Muduli ,

I want to take this opportunity to thank you for the excellent care and attention given to me during my office visit. I really appreciate your kind consideration and review of my medical condition. The time taken to explain to me the various options and your expert opinion is greatly appreciated. You have demonstrated to me your wisdom and knowledge of the profession. Once again, thanks for helping me and giving me high quality care and attention.

Peter

Dear Dr. Muduli,
I will write to you with warm and sincere thanks for extracting my wisdom teeth. I must say that you exemplify a superior level of professionalism, proficiency and confidence when you work. I was initially very apprehensive at the start of the procedure. However you and your staff were able to relax and provide me reassurance. You performed outstandingly and for that I am very grateful.
Please know that I will proudly recommend you to anyone that I should encounter who may require your services. You exhibit truly iconic poise and are a model to be replicated. Despite this, I do sincerely hope I never have to see you again. Once more, my deepest thanks and best regards.

Christopher

Top qualities: Great Results, Expert, High Integrity

“The quintessential professional in his field; Dr. Muduli's attention to detail, his superior skill, and unparalleled bedside manner make him a rare find in a competitive and sometimes confusing arena of Oral & Maxillofacial Surgery. My first experience with his professionalism and skill was when Dr. Muduli's comforting and professional approach put my son at ease while treating him for a difficult procedure to remove significantly impacted wisdom teeth. At the time his practice was local to me. The results were excellent. I was so pleased with how he cared for my son that when I needed extensive maxillofacial treatment I made the trip to his new office 23 miles from my home. A worthwhile trip I would readily do again. Bobby is a health professional I trust with my children and will gladly go out of my way in terms of travel for his services. I highly recommend him.” November 8, 2011

Francis

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