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Fill Out Your Forms Ahead of Your Appointment!

Make Sure to Bring in a Valid ID and your INS Card
Patient Registration
Medical History
Insurance Information

Fill out this form if you don't have your own INS Card

Bring These Forms in when you come to your appointment, or email them to us!

Our Email is HIPPA Secure, with access limited only to authorized personnel.

If you have any concerns, feel completely free to fill out these forms in our office, we only have them available to print or email as a convenience. 

Interested in Becoming a New Patient?

FREQUENTLY ASKED QUESTIONS

Curious about our practice? Have some burning questions you just gotta have answered? As always, feel free to give us a call! But here are a few of our frequently asked questions.

  • What Insurance do you accept?
    We are a provider to PPO/PDP Insurances, this includes Metlife PPO, Aetna PPO, United Healthcare PPO, etc. We are NOT a provider to any HMO/DMO Plans, as well as Dental Quest, Meridan, All Kids, and most Medicare Plans If you are unsure, call us or your insurance company for confirmation.
  • How Can I Pay? When Do I Have to Pay?
    We accept all major credit cards except for American Express, cash, and checks. We also accept Care Credit and Flex cards. Almost all services have a co-pay, this is expected at the time of service. If you require a payment plan, we recommend Care Credit, as we don't offer our own payment plan to any of our patients.
  • Are your x-rays film or digital? How worried do i have to be about radiation?
    All of our x-rays are digital, these emit very little radiation, less than a walk on a sunny day. Even with a set of full mouth x-rays (a series of 18 x-rays) your exposure is minimal.
  • I'm scared of shots, how can I be accomodated?"
    The patients comfort is always our number 1 priority, we have nitrous available for a small fee for patients with anxiety, it helps with the pain management and the anxiety.
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