PATIENT FORMS


New Patient Forms

Patient Forms (Printable Forms) Click on this links link

Notice of Privacy Practices Click on this link

Dental Materials Fact Sheet Click on this link


For those with insurance:

Treatment of our patients is not based on their insurance. It is based on their dental examination, medical history and appropriate communication to determine a proper treatment plan.
 
Please keep in mind that your insurance is a contract between you and the insurance company/employer. As such, you are required to be responsible for the account. We ask that you provide the Front Desk Team with your policy numbers/information, and inform them of any changes to your policy and personal information.
 
As a convenience to you, our office will submit the charges to your insurance carrier. We offer electronic insurance submissions where possible.

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We encourage you to contact us with any questions or comments you may have. Please call our office or use the contact form below.

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Contact us today!