FORMS

Thank You for Being a New Patient!

We’re glad you’re choosing us for your complete dental health needs and want to do whatever we can to make your registration process and initial visit as smooth as possible. During your initial appointment, you will be asked to fill out your patient information, dental and medical history, and insurance information. 

Did you know that you can save time on your first visit by filling out your information and dental history ahead of time? Simply download your dental registration form below, fill it in and bring it with you to your first appointment.

We appreciate your selection of our dental office to serve your complete health dentistry needs. While your insurance is an agreement between you, your employer, and your insurance carrier, we want to make accessing you benefits as easy as possible. Your insurance carrier will reimburse your directly but as a courtesy to you, we will assist you in filing your claim, work directly with your insurance, and provide the necessary information to maximize the reimbursement on your claim. After 30 days, any overpayment from your insurance company will be applied to your credit card and any balance remaining will be charged to your credit card. Secondary dental insurance will be filed but is not utilized as a form of payment. To get started on this process ahead of time, please download your form below and bring it with you to your first appointment.

We Look Forward to Seeing You Soon!

If you have any questions at all, please don’t hesitate to reach out to us ahead of time by calling our office.