Patient Resources
For your convenience you can print the following forms and bring them in to your next appointment. If you are unable to bring completed forms, please plan on arriving 20 minutes early for your scheduled appointment to complete patient registration.
Financial Arrangements
We are committed to providing our patients with excellent, affordable dental care. For your convenience we offer a variety of payment options. Our office accepts most dental insurance plans and we are preferred dental providers for a large number of insurance companies used by employers in our area. If you are unsure whether we are a preferred provider for your dental insurance company, or have any other questions, please do not hesitate to contact our office at 896-1986.
- If you have insurance, full payment of deductibles, co-insurance/co-payments and non-covered services is required at the time services are rendered. As a courtesy to our patients, we will file insurance claims and accept assignment of benefits; however, we will collect all estimated deductibles and co-insurance amounts at the time of treatment.
- We accept cash, personal checks, MasterCard, Visa, and Discover.
- We also accept Care Credit and Capital One Dental Fee Plan.
Both are flexible payment plans that offer interest –free options for 6 to 12 months or low monthly payments extended up to 84 months. The application and approval process is conveniently handled in our office within 20 minutes.
- Full Payment is due at the time services are rendered.
