New Patient Forms
We are accepting new patients. We invite you to call today so we can take care of your dental needs.
To save you time, feel free to download and fill out these new patient forms before your appointment.
To save you time, feel free to download and fill out these new patient forms before your appointment.
Record Release form
HIPPA Form
HIPPA Signature Form
Authorized Release Form
Medical History Form
Patient Registration Form
Insurances We Accept
For your convenience, we participate with most dental insurances.
Payment Options
We offer the following options for services or insurance co-pays:
Cash or Personal Check
Credit or Debit Cards
We Accept Debit Flex Cards
Affordable monthly payment plans
Discount
If you do not carry dental insurance, we offer a 5% discount for paying in full on the day of service. For our senior citizen patients 55 or older, we offer a 10% discount for payments on the day of service.