Patient Resources

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.

Child Forms

Adult Forms

General Forms

This website uses files in Adobe Acrobat Portable Document Format which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Payment Options

For your convenience, we accept cash, personal checks, money orders and major credit cards. Payment is expected at the time services are performed. When more extensive dental care is necessary, financial arrangements can be made with our office.

Pay Your Bill Online

Lending Club

Our practice is pleased to present flexible payment plans through Lending Club Patient Solutions. Lending Club Patient Solutions offers:

  • Plans with low fixed rates & low monthly payments that never change over the life of the loan
  • Patient-friendly, true No-Interest Plans with no retroactive interest
  • No upfront payments
  • No prepayment penalty

It’s easy to calculate your potential monthly payments. Simply complete a short application which displays fixed rates and monthly payments available for Extended Plans, all without impacting your credit score.

For more information, simply ask a team member or visit the Lending Club website.

Carecredit – Dental Financing

Take control of the health of your mouth. With the CareCredit healthcare credit card you can benefit from our special dental financing options.

Preventive Dentistry Financing

Being proactive about your mouth health will have you smiling for years to come. That’s because regular dental check-ups by qualified dental professionals can improve your overall health and well-being by catching problems before they start. Here are just some of the many preventive dental care procedures and treatments you can use your CareCredit healthcare credit card for you or your family:

  • 6-month check-ups
  • Endodontics
  • Periodontics
  • Periodental scaling
  • Periodontal disease prevention
  • Gingivitis prevention
  • Fluoride treatment
  • Ceramic fillings
  • Sealants
  • Teeth cleaning
  • Mouth guards for sports

Restorative and Cosmetic Dentistry Financing

CareCredit is a payment option that will have you smiling wider and brighter. With the CareCredit healthcare credit card you can use your card to finance cosmetic dental procedures such as:

  • Invisalign teeth straightening
  • Lumineers
  • Six Month Smile
  • Veneers
  • Dental implants
  • Ceramic crowns
  • Root canals
  • Braces or retainers
  • Bite plates
  • Headgear
  • Tooth repair
  • Dentures

We gladly accept CareCredit. Apply now!

Insurance

As a service to our patients, our practice accepts most dental insurance programs, including non-managed care, indemnity (traditional) and PPO out-of-network. We are not part of any managed care network. Our accounting staff will prepare all the necessary forms for your dental benefits. However, we remind you that your specific policy is an agreement between you and your insurance company. Please keep in mind that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated. Our staff will gladly submit a pre-treatment estimate to your insurance company so that you will know what your benefits will be.

The fees charged for services rendered to those who are insured are the usual and customary fees charged to all our patients for similar services. Your policy may base its allowances on a fixed fee schedule, which may or may not coincide with our usual fees. You should be aware that different insurance companies vary greatly in the types of coverage available. Also, some companies take care of claims promptly while others delay payment for several months.

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