Please download the following forms and complete them prior to arriving for your first visit.

New Patient Form

Consent Form

Privacy Notice

Financial Agreement

Payment Options

Financial constraints should never prevent necessary dental care. We work with our patients on financial arrangements to make sure your treatment plan works within your financial budget. Our office team will carefully discuss all your options.

Option #1            Payment in Full at each appointment

Payment by cash, personal check, Visa, Master Card, or Discover at treatment appointment

Option #2            Prepayment Discount

A 5% discount is offered for prepayments made in full.  This must be paid with cash or personal check prior to the first treatment visit.  Insurance benefits will be paid to you.

Option #3            Insurance Assignment of Benefits

Our team will work hard for you to receive the greatest benefit from any insurance plan you may have.  We do require that your deductible and percentage be paid at the time of service.  We accept assignment of benefits on most PPO insurance plans. 

Option #4            Extended Financing

You can finance your treatment with Care Credit, a finance company available through our office.  We supply the necessary forms and help you with the application process or you can apply online.

To successfully complete the application, you will need the following information :

·         Social Security number

·         Date of birth

·         Employment information, including income

Our application only takes a few minutes to complete.  Once you submit your application, you may receive a decision within seconds.