Patient Forms 2018-02-13T18:11:06+00:00

Patient Forms

If you will be coming to our clinic for the first time, please arrive about 10 minutes earlier than your scheduled appointment time to fill out your Patient Information Form. Also, please bring along all information pertaining to any Dental Insurance Policies for yourself and/or your spouse. Given this information, we will endeavor to verify* your coverage with your insurance company at the time of your visit. Once verified*, you will only be required to pay for any portion not covered by your particular plan.

*Unless we are given your dental insurance information in advance by phone, immediate verification of dental insurance coverage will only be possible for appointments scheduled during normal hours of operation of your specific insurance provider. If verification is not possible during your initial visit to our clinic, you may be required to pay the full balance of your visit, then be later reimbursed by your insurance provider.