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Prior to your appointment at Loudoun Oral and Maxillofacial Surgery, Dr. Andrew Bluhm, Dr. Steve Dorsch and Dr. Gene Vandervort ask that you complete our new patient registration forms. You may fill out the forms and submit them online, and once they are completed, they will be sent to our surgeons and their team over our secure network. Should you have any questions about our forms, or to learn more about our oral or maxillofacial surgery in Ashburn and Leesburg, Virginia, please feel free to contact us.

Online Patient Form

Printable Patient Forms

HIPAA Notice of Privacy Practices