New patient forms
Welcome to our forms page, designed to make your experience with us as convenient as possible. Below, you'll find a list of our available forms to streamline your interactions with our dental practice. Simply select the appropriate form, fill in the required information, and submit it to us. We'll handle the rest!
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Please have these forms filled out for your first appointment in order to streamline your wait time.
New Patient Forms -
Upload your insurance cards here:
Insurance claims
We're happy to help submit your dental insurance claims as a courtesy, but unfortunately, we are unable to do any Medicaid or Medicare claims because we're not connected to any insurance providers. Your insurance is an agreement between you, your employer, and the insurance company. It's up to you to know about your dental benefits, but we'll do our best to assist you. You'll need to pay the estimated patient share on the day of the services, unless we've arranged something else beforehand. Anything not covered by your insurance and any remaining balances are your responsibility.
For your convenience, we accept cash, check, American Express, Visa, Master Card, and Discover. We also accept Cherry Finance and Care Credit, see our financing options below.
*Please note the use of a credit card has a 3.5°% processing fee Returned checks will incur a $35 fee
financing options
We provide our patients with the convenience of choosing from two flexible financing solutions, ensuring that their dental care remains accessible and affordable.
