Patient Forms and Finances

Forms

For your convenience, you may print and complete the necessary forms prior to your scheduled appointment.  Should you have any questions, please do not hesitate to contact us.

• Patient Information
• Dental Plan Welcome Letter
• Insurance Policy
• Notice of Privacy Practices (HIPAA)
• Receipt of HIPAA Form

Finances

Because finances should never get between you and the care you want and deserve, we offer a number of financial alternatives. One is sure to fit your needs. We are an ‘insurance friendly’ office and will work to maximize your benefits.

In addition to cash and check, we accept MasterCard, Visa, American Express, and Discover Card for your convenience. Our financial coordinator is happy to discuss additional alternatives with you. We also offer CARE CREDIT, a plan to help you make affordable monthly payments.

Rest assured: before we begin your treatment, we’ll discuss and agree on the one financial option that works best for you.