We understand that your time is valuable. Please, complete the following 2 forms at the comfort of your home, and bring them with you at your visit. You can review our HIPPA Privacy Policies before you fill out the Notice of Privacy Practices Acknowledgment Form.
Adult Registration Form Children Registration Form
Notice of Privacy Practices
Dental Records Release Form
We try to maximize insurance benefits for every patient. For patients requiring more extensive dental treatment, financial arrangements are made in advance. We honor Visa, Mastercard, Discover and CareCredit.
No Interest and Low Interest Payment Plans. If you do not have a dental insurance or your dental insurance doesn't cover your procedures, CareCredit can help you with dental care you desire with No Interest to Low Interest Payment Plans. You can use CareCredit to pay for cosmetic procedures like teeth whitening and veneers, dental implants, deductibles and copayments.

CareCredit
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