Patient Forms
New Patient Forms
Other Forms
- Authorization for Non Legal Guardian Accompaniment (for our first dental visit and nervous patients)
- Happy Dental Visit Tips (for parents/legal guardians to sign if they will not be accompanying their child)
Payment and Financing
We proudly accept the CareCredit credit card to help you finance your healthcare needs.
Think of CareCredit as your own health, wellness credit card. CareCredit lets you say “Yes” to recommended surgical and non-surgical dental procedures, and pay for them in convenient monthly payments that fit your financial situation.
CareCredit is a healthcare credit card that helps you pay for treatments and procedures for you or your family that may not be covered by insurance.
With special financing options, you can use your CareCredit card for your dental needs.
It’s free and easy to apply and you’ll receive a decision immediately. If you’re approved, you can schedule your procedures even before you receive yourn card. With more than 21 million accounts opened since CareCredit began nearly 30 years ago, they are the trusted source for healthcare credit cards.
In addition, we accept cash, most debit cards, and all major credit cards.