If you have a Dental Plan try to obtain a description of your coverage from the Insurer or your place of work. This will make it easier for us to predict what the Insurer expects you to pay out of your own pocket
Patient Resources
Patient Forms
New Patient Medical History Form
If you have an appointment as a new client to our practice, please follow the instructions below.
Please print all pages, complete all sections and bring it with you to your first appointment. If there are any areas that you are not sure about, please leave it blank and we will review it with you. Please also print the next form below, Consent to Treatment and Privacy, and complete it as well.
Consent to Treament and Privacy Form
Please print and complete the form and bring it with you to your appointment.
Transfer of Records and X-rays
If you have an appointment as a new client to our practice, please follow the instructions below.
Please print this form and complete the blanks in order to have any current records sent to our office prior to your appointment. The form needs to be sent to your former dentist.
New Patient Information
CANCELLATIONS
As a courtesy to other patients, please be advised that we do require 2 business days for any changes to your appointment or charges may be incurred.
FINANCIAL
For your convenience we offer direct billing and file your claims electronically. We accept payments via debit, Visa and MasterCard. Difference between your insurance coverage payment is due at the time service is rendered.