New Patient Information
Thank you for choosing our office, we have created a comfortable environment in which you can feel confident about the dental care you receive. During your first visit, our objective is to get to know you better, to become familiar with your past dental experiences and to establish a treatment plan that will best meet your dental needs.
When you arrive, please be prepared to complete all insurance and health information forms. We ask that you fill out several forms that will get you acquainted with our office. Also, please assist us by providing the following information:
- Any panoramic X-ray taken within the past six months
- If you have dental insurance, please bring your insurance card. This will enable us to give you an estimate of your costs.
Your initial appointment will last approximately one hour. In most cases, we will clean your teeth, and X-rays will be taken. We will perform a thorough exam and evaluate the diagnostic records, which help in diagnosing teeth decay, periodontal problems, jaw problems and any signs of oral cancer. After the examination, we will provide a detailed summary that outlines any existing dental problems noted and proposed treatment.
We believe that good dental care begins with open communication, and we promise to speak candidly with you. Working together, we can achieve a true partnership with one common goal – keeping your teeth and gums healthy!
We never want costs to stand in the way of quality treatment, which is why we are dedicated to providing our patients with care that is both effective and affordable. Your treatment plan will include a breakdown of all applicable fees, and we will try to provide an accurate estimate of all costs before treatment is administered. We offer a variety of payment options to meet your needs, including financing options through CareCredit. For your convenience, we accept Visa, MasterCard, and Discover credit cards.
If you have any questions about financing or payment, ask us! We will thoroughly explain your choices and work hard to accommodate you.
CareCredit is here to help you pay for treatments and procedures your insurance doesn’t cover. CareCredit offers No Interest* financing or low minimum monthly payment options so you can get what you want, when you want it.
CareCredit is endorsed by some of the most credible organizations specific to each healthcare profession we support. And CareCredit is a GE Money Company, so you know you can count on us. For over 20 years, we’ve been helping over five million cardholders get the healthcare treatments they want and need. For more information or to apply online, visit carecredit.com
Our office is committed to helping you maximize your insurance benefits. Because insurance policies vary, we can only estimate your coverage in good faith but cannot guarantee coverage due to the complexities of insurance contracts.
When you first visit our office, bring your current insurance card with you. If you change insurance companies or join another employer’s plan, please be sure to let us know. If an insurance referral is necessary, please bring the completed form with you to your appointment.
We will attempt to help you receive full insurance benefits: however, you are personally responsible for your account, and we encourage you to contact us if your policy has not paid within a reasonable timeframe. If we are not contracted under your insurance, you will be given a copy of services and charges to file with your insurance claim form.
New Patient Online Forms
The below patient forms can be filled out online and completed before your first visit to our office:
Existing Patient Online Forms
The below patient forms can be filled out online and completed before your next visit to our office:
Printable Patient Forms
The below patient forms can be printed and completed before your first visit to expedite your check-in process:
- New Patient Welcome Form
- Returning Patients Update Form
- HIPAA Notice of Privacy Practices
- Informed Consent & COVID-19 Addendum
We look forward to your first visit!