You may access the following forms to assist us with your care. Please print and fill out the desired form, then bring it to your appointment.
If the documents don’t seem to print correctly, please make sure you have the latest version of Adobe Reader and the latest version of your printer driver software installed.
Financing and Insurance
It is our policy to receive payment when treatment is rendered. If you have any questions concerning our fees or methods of payment, please let us know.
There is a variety of dental insurance coverage. Nearly every dental plan limits the amount of money the insurance company will pay for covered services. Coverage is rarely 100 percent. If you have questions about your coverage, please refer these questions to your insurance carrier or to your employer.
As a courtesy to our patients, we will complete a claim form at our expense. However, since you receive our professional services, you are responsible to us for payment. We request that payment for services be made by you.
Thank you for your confidence and for entrusting your child’s care to us.