Patient Information

Patient Forms

(We use Adobe Acrobat PDF files as a means to electronically provide forms & publications. You will need to have the Adobe Reader software installed to access these forms. Adobe Reader is available FREE from the Adobe website.)

Save time by printing our New Patient forms and bringing them to your appointment.

  1. Print the appropriate New Patient Form(s) below.

  2. Bring the completed form(s) along with your insurance information to your first appointment.


Payment Options

We offer various payment methods so that you can choose an option that will work best for you. We accept cash, personal checks, debit and all major credit cards.

Our office also accepts CareCredit. CareCredit is a healthcare credit card that is used to pay for out-of-pocket expenses not covered by dental insurance. CareCredit also offers no interest financing if approved. Ask us about CareCredit today! Applying is easy, and we are here to answer any questions.CareCredit is subject to credit approval.


Insurance

Dental insurance can be real headache, depending on your insurance provider. Our team will verify your insurance and file your claim for you!

Our practice is in-network with a number of insurance providers, and we will file with any PPO insurance policy. Please bring a copy of your insurance card with you to your appointment we'll handle it from there.

If you're interested in learning more about what our dental practice has to offer, please contact us at 478-224-5656 today!