Patient Info | ||||||||||||||||||||||||||||||||||||||
Map:
New Patient Forms
If
you would like to complete your registration forms before
you arrive, you may download them by clicking below. The
New Patient Form and Health History Form are in PDF format. If you do not have Acrobat
Reader, get a free copy by clicking on the link below. Also,
after reading the Notice of Privacy
Practices, print the Acknowledgement form below, sign
it, and bring it in, too.
New Patient Forms (Acrobat PDF form) You can also use the following link to fill out the new patient paperwork online: https://forms.patientconnect365.com/17053
Insurance and Payment Options
Payment:Payment is expected at time of service. If you have insurance, you will be expected to make an estimated payment for that portion not covered by your insurance plan. For that portion of costs not covered by insurance, we offer several payment options:
Insurance:Dental insurance is intended to cover some, but not all of the cost of your dental care. Most plans include coinsurance provisions, a deductible, and certain other expenses which must be paid by the patient at the time of services. Reimbursement amounts are not, and never have been, a guideline for quality care. We can file most insurance claims for you. Please bring your insurance plan information with you on your first visit. We will work with you to ensure that you receive the maximum benefits to which you are entitled. If you have any questions about your insurance plan or payment options, please call our staff at (541) 754-0600. |