New Patient Forms

For your convenience, we have made our new patient forms available to you as Adobe Acrobat files. Or, if you prefer, you can call us and we can fax or mail them to you. Please remember to bring your completed forms with you for your first visit.

New Patient Form
Acrobat 74k

Click here if you do not have the software and would like to download it for free.

Financial Information

Payment Options

We accept cash, personal checks, Visa and Mastercard. Your insurance plan co-pay is due at the time of your visit, and you're responsible for the entire amount not covered by your insurance. For more extensive procedures, or in cases where patients prefer to pay over time, we are happy to offer third party financing through Care Credit, Dental Fee Plan and Patriot Financial Services. Please let us know ahead of time if you desire to apply for this service, and we'll direct you as needed.

Insurance

Our office is willing to work with any insurance company. This means that we'll be happy to file your insurance for you, and will accept payment from them as well. However, we do ask that patients understand up front the limitations of their own coverage, and take responsibility for their portion of the bill not covered by insurance. For example, our fees are not negotiable, as they've been determined based on our time, materials and overhead costs. Unfortunately, insurance companies vary in their coverage amounts for various dental procedures.

We also advise our patients be aware of the limited nature of dental insurance in general. People are typically accustomed to thinking in terms of medical insurance coverage, where deductibles are high, but serious and catastrophic conditions are covered. In contrast, dental insurance universally has low deductibles but does NOT provide for catastrophic or major problems.

In any case, we're well-versed in the latest coverage trends, and are more than happy to discuss the particulars of your plan with you prior to any treatments you may undergo.