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Patient Resources

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.

Record Release 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
cash or check
Credit or Debit Cards
We Accept Debit Flex Cards
Debit Flex Cards Accepted

Affordable monthly payment plans 
Care Credit - Affordable Payment Plans

DiscountIf 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.