Welcome to our dental practice! We are committed to providing you with high quality dental care in a compassionate, gentle manner.
Please complete the following documents and bring them with you to your first dental appointment:
On your first visit to our practice, you can expect:
• A thorough oral examination, including only the necessary x-rays
• A professional preventative cleaning
• A discussion of the most appropriate treatment to meet your oral health goals.
If you have had x-rays taken within the last 3 years, please bring them with you to your first appointment. If we do not have current x-rays at your first appointment, we will be taking new x-rays at that visit in order to properly complete a comprehensive exam.
You can expect to have the BITEWING x-rays taken once every 12 months, and the PANORAMIC x-ray once every 3-5 years.
In order to request x-rays from your previous denstist, please complete the following form:
Also, if you have dental insurance, please bring your dental insurance card so we may update your account properly. You will also be asked to provide a photo ID at your first visit.
Our goal is to maximize your insurance benefits. Please remember that dental insurance is not designed to cover 100% of the cost of all treatment. For example, you may choose treatment that your dental insurance excludes from coverage (i.e., a “non-covered service”). In those cases, you will be responsible for the full amount of those services. Due to pending claims and patient privacy issues, we do not always know how much an insurance company has already paid to another office or specialist, and the balance remaining on a yearly maximum.
Please be prepared to show your insurance card and driver’s license at the time of each visit.It is the patient/guarantor’s responsibility to provide any new information regarding insurance. Our office will gladly submit your insurance claim to your insurance carrier as a courtesy to you.
Payment Options and 3rd Party Financing/CareCredit:
1. Payment In Full: Cash, check, or Credit (Visa, MasterCard, or DISC)
2. Care Credit: Interest Free Monthly Payment Plans (6, 12, 18, or 24mo) - *Subject to credit approval
3. In House Payment Plans- 50% Down Payment, + 25% Monthly payment on a debit or credit card
In the event that you are unable to continue as a patient at our office, we may transfer your records to the office of your choosing, upon receipt of this signed request: