Printable Patient Forms
You will receive the following in your initial one hour consultation:
- A comprehensive oral examination
- X-rays if needed
- Impressions if considered necessary for models
- Documented comprehensive treatment plan(s) and the estimated cost
- A financial consult to discuss insurance, financing, and payment options
As a service for our patients, we will discuss your financial options during your treatment consultation. Your insurance provider may be contacted to find out what your benefits are so you will have an estimate of what your “out of pocket” expenses will be. We make every effort to offer you the most convenient financial options and to maximize your insurance reimbursement by filling your insurance claim for you. You are responsible for any fees not covered by your insurance provider. If you have any questions regarding your insurance, please contact us, and we will be happy to assist you.
For your convenience, we accept cash, personal checks, Discover, VISA, and MasterCard. Unless prior arrangement is made, payment is expected at the time services are rendered. We also accept payment from a third party financing company called Care Credit. Care Credit functions as a credit card that can be used repeatedly and for any family member for health care needs. They offer low monthly payment options, no up-front costs, and no-prepayment penalties. Please click on
the link to the right to apply for Care Credit.