To make your first time visit easier and more enjoyable, we recommend that you preview the forms below and bring a completed, signed copy of the "Patient Registration/Medical Information" form with you.

Patient Registration/Medical Information

Instructions: Print and fill out.

 

HIPAA

Instructions: Preview only - you will digitally sign this before your appointment.

 

Financial Policy

Instructions: Preview only - you will digitally sign this before your appointment.

 

 

Insurance and Payments

We believe that financial concerns should never stand in the way of excellent dental care. We are happy to work with you to design a payment plan that fits your personal needs. All major credit cards are welcome and we can even arrange financing with Care Credit to help fit your payments into an affordable plan. For your convenience, we accept a variety of insurance plans. We can help you maximize your insurance benefits and will file claims electronically to help speed reimbursement. We have a copy of our financial policy for you to review above.

 

Additionally, we offer CareCredit Care Credit is a healthcare credit card designed for your health, beauty, and wellness needs. It's a way to pay for the costs of many treatments and procedures and allows you to make convenient monthly payments. Click here to apply.

 

INFANTS AND CHILDREN

We enjoy treating patients of all ages. In order to build positive rapport and trust with your child it is our policy to have only the patient in the treatment area. If needed, some patients may be referred to a specialist. For safety reasons, we also ask that no children are in the treatment room while their parent or guardian is being treated.

 

Still have questions?

See our FAQ page here