We Welcome New Patients

During your visit, you will have the opportunity to meet with our team and get to know Dr. Korompilas, Dr. Bouchelion, Dr. Guyer, and Dr. Bruno. We are committed to educating you about your unique needs and will answer any questions you may have concerning your treatment. Our goal is to provide you with the highest level of oral and maxillofacial care available today. Thank you for your confidence in our team and we look forward to meeting you.

New Patient Forms

To provide you with the most efficient new patient experience, please download and complete the forms below and bring them to your first appointment.  Our team will take comprehensive records and address any concerns or questions you may have. If you have any problems downloading the forms, please contact our office and we will gladly send them to you.

Patient Registration Forms

Your First Visit

Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Occasionally, surgery can be performed the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.

Please assist us by providing the following information at the time of your consultation:

  • Your surgical referral slip and any x-rays if applicable.
  • A list of medications you are presently taking.
  • If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.

IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit.

A preoperative consultation and physical examination is mandatory for patients undergoing IV anesthesia for surgery. Please have nothing to eat or drink eight hours prior to your surgery. You will also need an adult to drive you home.

Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.).

X-Rays

If your dentist or physician has taken x-rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.

Insurance and Billing

We can help you maximize your benefits. We recommend that you contact our office prior to your appointment to provide us with insurance information for verification of benefits. We accept most major dental insurances and will file most claims for you as a courtesy. We will provide you with an explanation of your dental benefits and financial responsibilities up front, and work with you to ensure financing, if needed.

Financing Options

We provide multiple financing options to ensure you can receive the treatments you need with a plan you can afford, including Visa, MasterCard, Discover, as well as CareCredit. Please call us at (708) 301-5000 if you have any questions.