New Patient Forms

New Patient Forms

For Dental & Eye Care

We want your first experience with us to be a smooth one, so we’re providing these new patient forms online for you to download, print, fill out and bring with you. This will help us breeze through the formalities and paperwork when you arrive.

Emergency Dental Treatment
NEW PATIENT FORMS

Dental Care

01

New Patient Form

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02

New Minor Patient Form (if applicable)

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03

HIPAA Form

Download now

04

Insurance & Payment Options Form

Download now
NEW PATIENT FORMS

Eye Care

01

New Patient Form

Download Now
Payment Options

Care Credit

We also accept Care Credit plans which can provide zero interest payment options if you pay on time and within the agreed upon number of months.These plans can even be used to pay the uncovered portion of your expenses under your insurance policy. If you don’t already have a Care Credit card, you can apply online to get started.

Faq

General Questions

Do you accept Care Credit plans?

We accept Care Credit plans which can provide zero interest payment options if you pay on time and within the agreed upon number of months. These plans can even be used to pay the uncovered portion of your expenses under your insurance policy. If you don’t already have a Care Credit card, you can apply online to get started.

If you don’t have insurance we can still figure out a way to provide you with affordable dental care. We accept Care Credit or we also offer a cash discount on accounts with no insurance. (Must be paid in full by cash or check at the time of treatment.)