New Patient Forms

Forms

In an effort to make your visit with us as convenient as possible. Please feel free to Print our new patient form packet at home, fill it out, and bring with you to your appointment.

Medical History Form Medical History Form
Click Fill Out
Patient Info Online
Click to Fill Out
Dental History Online
Medical History Form Medical History Form
Click to Fill Out
Medical History Online
Click to Fill Out
Ins/Financial Info Online

 

 

Insurance

We accept most insurance plans and will gladly process your claim. Please bring the necessary forms with you on your first visit. Insurance policies generally cover only a portion of the total treatment cost. Unless other arrangements have been made, we ask that you pay your portion of the bill at the time of treatment. It is your responsibility to pay any balance not paid by your insurance company.For your convenience, we also accept payments made with your Visa, MasterCard, Discover, American Express, Care Credit, or Citi Health Cards.

Aetna Dental Insurance Blue Cross Dental Insurance Cigna Dental Insurance
Delta Dental Insurance Dental Select Insurance MetLife Dental Insurance
Mutual of Omaha Dental Insurance United Concordia Dental Insurance United Healthcare Dental Insurance

Financing

In addition to making your dental experience comfortable, we work very hard to make financing comfortable, too. We offer several payment options, so you can choose what works best for you.

Financing

We accept Visa, MasterCard, Discover and American Express.
Low monthly payment plans are available.