Patient
Information
Welcome to our new patient center! Lets streamline your first visit, we've made our new patient forms available for you to download and complete at your convenience. This will save you time in the office and allow us to attend to your dental needs more promptly.
Elevating Dental Care with Advanced Technology
Discover Our
State-of-the-Art Dental Tech
Welcome to a dental experience defined by innovation. Our high-tech facility is equipped with the latest dental advancements to ensure you receive the most precise, efficient, and comfortable care possible. We believe in leveraging technology to enhance your journey to a healthier, brighter smile.
From digital imaging for accurate diagnoses to laser dentistry for minimally invasive procedures, our commitment to cutting-edge technology translates to better outcomes and a more relaxed visit for you. Experience the difference that modern dentistry makes, where your comfort and well-being are always our top priorities.
Downloadable Forms
New Patient Forms
Below you will find a list of our downloadable new patient forms. Please print and fill them out before your first appointment. If you have any questions, please don't hesitate to contact our office.
Registration Form
This form provides us with your essential personal and contact information. Completing this beforehand helps us create your patient file and ensures we have the necessary details for your visit.
HIPAA Document
This document outlines your rights regarding your protected health information, in accordance with the Health Insurance Portability and Accountability Act (HIPAA). It details how your medical information may be used and disclosed.
Patient Consent Form
This form is to ensure you have a clear understanding of the proposed dental treatment, including potential risks and benefits. Your signature provides your informed consent to proceed with the recommended care.
Practice Policies
Understand our commitment to your care. Review our practice policies regarding appointments, payments, insurance, and patient rights for a clear understanding of our procedures.
Financial Policy Document
This document outlines our practice's financial policies, including payment options and responsibilities. It is designed to provide clarity on the financial aspects of your dental care.
Save with us!
Unlike conventional insurance plans, with the savings membership there are:
No waiting periods
No deductibles
No claim forms
No pre-existing condition limitations
No pre-authorization requirements
Immediate eligibility
01
SMILE
ESSENTIAL
Total cost per year, per individual: $499.00
Included Services:
- 2 Cleanings
- 2 Exams
- 2 Fluoride Treatments
- 1 Set of X-Rays
Discounted Procedures:
- Same Benefits Apply
Annual Limit Discount:
- 15% Off Normal Service Fees
- Annual Limit Discount of $10,000
02
SMILE
ADVANTAGE
Total cost per year, per individual: $749.00
Included Services:
- 4 Cleanings
- 4 Exams
- 2 Fluoride Treatments
- 1 Set of X-Rays
Discounted Procedures:
- Same Benefits Apply
Annual Limit Discount:
- *20% Off Normal Service Fees
- Annual Limit Discount of $15,000
*Sign Up Again and Save More:
- 20% Off Regular Fees For The 1st Year
- 25% Off Regular Fees For The 2nd Year
- 30% Off Regular Fees For The 3rd Year
03
Discounted
Procedures
- Fillings
- Crowns
- Extractions
- Bridges
- Nightguards
- Dentures & Partials
- Root Canal Treatment
- Implant Procedures
NO INSURANCE,
NO PROBLEM!
Plan Guidelines
- Benefit coverage is subject to revision annually.
- Patients portion of bill is due at the time of service.
- You will not receive a membership card (your plan's effective date will be on file with the office).
- Patient must remain a plan member during the duration of treatment to retain plan benefits.
- NON-REFUNDABLE: No refunds or premiums will be issued at any time if the participant decides not to utilize the dental plan.
Note: These savings plans cannot be used in conjunction with another dental plan, dental insurance, PIP/Medical Claims, Workers Comp or financing programs such as Care Credit.
Testimonials
Happy patients, healthy smiles! Hear firsthand how we've helped our patients achieve their oral health goals. We're proud of the relationships we build with our patients. Here's what some of them have to say about their time with us.
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