New Patients

First Visit

When you arrive for your first visit, we will need all insurance and health information forms completed before we can begin your dental treatment. We will ask you to fill out several forms that will get you acquainted with our office and help us get acquainted with you. Forms are available to download and print prior to your appointment or you can fill them out at our office prior to your appointment. Please plan to come in 15 minutes early if you need to complete these forms in office.

Also, please provide a list of the current medications you are taking, so we can avoid drug interactions. If you have a medical condition that requires you to take medicine prior to dental work, let us know.

Your initial exam will last approximately one hour. A comprehensive oral evaluation including x-rays will be provided to your existing dental health and proposed treatment.  A second visit will be scheduled with one of our hygienists for scaling and polishing.

 

Forms

You may access the following forms to assist us with your care. Please print and fill out the forms below, then bring it to your appointment.

Registration

Health History

Financial Policy

Acknowledgement of Privacy Practice

Notice of Privacy Practice

Release of Records

 

Payment Options:

  • We accept Cash, Check, Visa, Mastercard, American Express and Discover.
  • We offer CareCredit for extended payment options. * Please visit their site or call (800) 677-0718 for further details.
  • Online payments accepted thru the patient portal link at the bottom of this page.

 

Insurance and Co-Pays:

Our office is a contracted provider with Delta Dental. We accept most other insurance plans and we are happy to submit a claim on your behalf. We will always try to assist you in understanding your insurance benefits; however, the ultimate responsibility lies with you, the patient. If services are not covered due to reasons such as a waiting period, annual maximums, etc., then you are responsible for paying the charges.

Your estimated co-pay is due at the time of service. Should you have trouble taking care of your co-pay, arrangements must be made with one of our front office professionals prior to your appointment.

Most importantly, please keep us informed of any insurance changes such as ID numbers, new insurance company, or a change of employment.