Patient Resources

Everything You Need Before Your Visit

We want your experience to be as smooth and stress-free as possible. Find new patient forms, insurance information, and answers to common questions below.

Before Your Visit

New Patient Forms

To save time at your first appointment, please download and complete these forms before arriving. Bring the completed forms with you or ask our team about submitting them in advance.

New Patient Registration

Personal and contact information, medical history, and consent to treatment.

Required for all new patientsDownload PDF

Health History Form

Detailed medical and dental history to help us provide the safest, most personalized care.

Required for all new patientsDownload PDF

HIPAA Privacy Notice & Acknowledgment

Our privacy practices and your rights regarding your personal health information.

Required for all new patientsDownload PDF

Insurance & Financial Policy

Our billing policies, payment options, and insurance assignment authorization.

Required for all new patients

Dental Anxiety & Comfort Preferences

Let us know about any concerns or preferences so we can make your visit as comfortable as possible.

Recommended for new patients

Consent to Treatment

Authorization for examination, diagnosis, and recommended dental treatment.

Required for all new patients

Emergency Contact & Responsible Party

Emergency contact information and designation of the financially responsible party for your account.

Required for all new patients

Pediatric Patient Health History

Health history and parental consent form for patients under 18 years of age.

Required for minor patients

Please arrive 15 minutes early if you have not completed your forms in advance. Our front desk team is happy to assist you.

Billing

Insurance & Payment

We are committed to making quality dental care accessible. We work with most major insurance providers and offer flexible payment options.

Insurance Plans

We work with most Insurance plans and will verify your benefits before your appointment.  As a service to our patients, we are happy to submit your claims for you.  Please provide us with your insurance information and a copy of your card.  All care provided is based on your individual need, not your insurance coverages.

Payment Options

Major Credit & Debit Cards

We accept Visa, Mastercard, American Express, and Discover.

CareCredit Financing

Apply for low- or no-interest financing through CareCredit to spread the cost of treatment over time.

Other Payment Options

Ask our team about customized payment arrangements for larger treatment plans.

Cash & Check

Traditional payment methods are always welcome.

Common Questions

Frequently Asked Questions

Still have questions? Call us at (615) 555-0192

Have More Questions?

Our team is happy to help. Give us a call or request an appointment and we will be in touch.