PATIENT RESOURCES

Patient Forms

SCHEDULED New Patient Online Registration

*You must call our office and have a scheduled NEW PATIENT appointment with us in order for the forms to work.

If you are a SCHEDULED NEW PATIENT and need to complete forms:

You may complete them online by clicking the

GREEN BUTTON below

OR you may arrive 30 minutes early to your appointment, and we will gladly assist you.

**Depending on your browser settings, you may see an error code after you click SUBMIT - but your forms have come through to our office.

New Patient Form

Financial Options

We don't think that financial strain should be an obstacle to obtaining important dental care. Sensitive to the fact that different people have different needs in fulfilling their financial obligations, we offer multiple payment options.

We Accept Visa, Master Card, American Express, and Discover.

Dental Insurance

We welcome dental insurance. We will be happy to answer all of your questions and call your insurance provider to verify benefits.

Flexible Monthly Payment Option

CareCredit, the nation's leading patient payment program, enables you to finance all of your dental care with no money down, no interest, no upfront costs, no annual fees, and no pre-payment penalties. Care Credit can be used by the entire family for ongoing treatment and offers a comprehensive range of plans for treatment or procedure fees from $1 to over $25,000. It only takes a few minutes to apply for CareCredit, so learn more and apply today by calling our office or visiting www.CareCredit.com.