We appreciate that your time is valuable. That’s why we give you the option of completing new patient registration forms in the comfort of your home. This form takes 10 minutes to complete. On completion, you can either fax the form to us or bring the form with you at your first visit.


Adult Registration Form

Children Registration Form

Notice of Privacy Practices

We try to maximize the insurance benefits for every patient. We will work with your insurance company to further understand the dental coverage and to estimate your dental benefits. For patients requiring more extensive dental treatment, financial arrangements are made in advance. We honor Visa, Mastercard, Discover and the CareCredit.

Dental Records Release Form

If you are an existing patient, you may review our HIPPA Privacy Policies. In addition, if you have not done so, print the Notice of Privacy Practices Acknowledgment Form and bring it with you to your next appointment or fax the form to us.


View HIPPA form

Notice of Privacy Practices

No Interest and Low Interest Payment Plans.If you do not have a dental insurance or your dental insurance doesn't cover your procedures, CareCredit can help you with dental care you desire with No Interest to Low Interest Payment Plans. You can use CareCredit to pay for cosmetic procedures like teeth whitening and veneers, dental implants, deductibles and copayments.

CareCredit

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