Patient Info & Forms

After a complete new patient examination, we will discuss in detail any dental needs and options which may be available.  This is a chance for you to not only understand treatment options, but also to learn about how we may address concerning issues that may be preventable down the road.  This is an informative visit and we do not criticize the state of your oral condition.  Whether life got busy and your dental needs have been pushed aside, or you have a case of dental phobia, we will strive to make your visit comfortable throughout its entirety.

New Patient Forms

Please print and fill out these forms so we can expedite your first visit:

• Patient Info Form
  
• Patient Consent Form 
  
• Patient Questionnaire Form
• Minor Patient Info Form

You can either bring the forms with you to your first visit, or you can scan and email them back to us before your first visit.

ADOBE ACROBAT READER

In order to view or print these forms, you will need Adobe Acrobat Reader installed.

CLICK HERE TO DOWNLOAD ADOBE ACROBAT READER

(Before installing be sure to uncheck the optional offer to install McAfee Security Scan Plus because it may conflict with your existing anti-virus program)

PAYMENT & INSURANCE

PAYMENT POLICIES

We accept a variety of payment options including cash, check, credit and debit cards and CareCredit.  

WHAT IS CARECREDIT?

CareCredit is a healthcare credit card designed for your health and wellness needs for you, your entire family and your pets. CareCredit is different from a regular credit card. Use it to pay for out-of-pocket expenses not covered by medical insurance, and special financing options are available that you may not be able to get with other cards. Learn More > 

WE ACCEPT MOST DENTAL INSURANCES AND ALSO OFFER OUTSIDE FINANCING.

Present us with your insurance information and we will take care of the rest.  After we determine if there is treatment needed we will first discuss with you insurance benefits (if applicable), options available to you and map out a plan.