Patient Resources

Patient Forms

New Patient Online Registration
New patients, please click here and complete all
5 new patient forms electronically:

Existing patients can log in here:

Refer a Friend

The highest compliment comes from our patients who refer a friend or family member to our office.  Tell your friends about the great care you received at Riviera Dental Care and once they become patients, you will receive a $20 Visa Gift Card!

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
Call our team today (251) 943-DENT
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