Before your appointment
A little paperwork. A warm welcome.
Download, print and bring these three forms to your first visit.
- 01
PDF · 171 KBHealth History
- 02
PDF · 69 KBOffice Financial Policy
- 03
PDF · 56 KBHIPAA Consent Form
Ready for your first visit.
Your forms
Print, complete and bring all three.
Your details
Photo ID, insurance card and employer forms.
Your history
Let us know about any previous X-rays.
Payment, insurance & cancellation
Payment at the visit
Payment is due when services are rendered. We accept cash, checks, Visa, Mastercard, Discover and American Express.
Insurance
We file your claim as a courtesy. Bring your dental wallet card and employer information. Any deductible or co-payment is due at the time of treatment.
Cancelling an appointment
We ask for 48 hours' notice. Appointments broken without it are charged at $50 per half hour, except in severe weather or a true emergency.
Financing
Payment plans and financial arrangements are offered through CareCredit, our in-office financing partner.


