New Patient Forms
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.
Patient Forms (Click on the link below to download)
Patient Information
Medical History
Dental History
Financial Policy
HIPPA
Payment Options
For your convenience, we accept cash, personal checks, money orders, and most major credit cards. Payment is expected at the time services are performed. Feel free to contact our office If your treatment plan requires more comprehensive dental work and you want to discuss financial arrangements.
Lending Club
Dental Insurance
We are In-Network provider for several dental insurances including but not limited to :
Delta Dental, Metlife, Cigna, Principal, Aetna, Anthem/Blue Cross - Blue Shield, Superior Dental, Dental Care Partners, Guardian, Dentamax, United Concordia, United Health Care, Ameritas / Lincoln Financial, GEHA/Connection Dental, Humana PPO.
We do not accept Medicaid, CareSource, Molina, HMO/DMO.
Please contact our office for Insurance details. We look forward to hearing from you.
This web site uses files in Adobe Acrobat Portable Document Format 
(pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.