If you are a new patient to our office, the attached files contain our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you to your scheduled appointment will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.
New Patient Forms Please print and completely fill out all of the following forms to the best of your ability. Thank you!
Registration Form
Patient Dental/Medical History
Notice of Privacy Practices
Privacy Acknowledgement
This web site uses files in Adobe Acrobat Portable Document Format 
(pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
Payment Options
For your convenience, we accept cash, personal checks, and major credit cards. Payment is expected at the time services are performed. We are pleased to inform you that we are now working with a compnay, CareCredit, with options of a 0% interest rate for a extended amount of time. Please visit their website or call our office for more information regarding this payment option.
Insurance
As a service to our patients, our practice accepts most dental insurance programs. If you have insurance, we will glady process your claim but we request that you pay your estimeated portion when services are rendered. Our accounting staff will prepare all the necessary forms for your dental benefits. However, we remind you that your specific policy is an agreement between you and your insurance company. Please keep in mind that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated. Our staff will gladly submit a pre-treatment estimate to your insurance company so that you will know what your benefits will be.
The fees charged for services rendered to those who are insured are the usual and customary fees charged to all our patients for similar services. Your policy may base its allowances on a fixed fee schedule, which may or may not coincide with our usual fees. You should be aware that different insurance companies vary greatly in the types of coverage available. Also, some companies take care of claims promptly while others delay payment for several months.