New Patient Forms
For new patients, please print out and complete the following forms prior to your first visit. You are welcome to bring them with you, or submit them by email to Our Office Email
We accept cash, checks, Visa, MasterCard and American Express. When extensive dental care is necessary or when dental insurance is involved, financial arrangements can be made with our office manager. Please inquire about our financing plans. Our primary concern is your dentistry. Nonetheless, we will be sensitive to your financial circumstances within the framework of sound business practices.
Our accounting department will prepare all of the necessary forms to submit to your insurance company. We can make no guarantee of any estimated coverage, but we’ll do our best to see that you receive your maximum benefits.
Please keep in mind that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated. If you would like to know what your expected coverage will be, we are happy to submit a pre-treatment estimate. Your insurer will generally send a detailed response within 4-6 weeks.
If you cannot keep an appointment, please inform us at least 24 hours in advance. If we are not provided adequate notice of your change of plans, there may be a charge to your account depending upon the circumstances.