Patient Forms
We want to make your visit as smooth as possible. Below are the necessary patient forms you may need before your appointment. Filling out these forms ahead of time can help streamline your check-in process.
New Patient Forms
Other Forms
- Authorization for Non Legal Guardian Accompaniment – Required for a child’s first dental visit or for nervous patients accompanied by someone other than their legal guardian.
- Happy Dental Visit Tips – A form for parents or legal guardians who will not be accompanying their child, outlining helpful tips for a positive experience.
Payment and Financing
We offer flexible payment options to ensure that your dental care is accessible and stress-free.
CareCredit Financing
We proudly accept CareCredit, a healthcare credit card designed to help you manage out-of-pocket dental expenses with convenient monthly payments. With CareCredit, you can:
- Say “Yes” to recommended treatments, whether surgical or non-surgical.
- Cover costs that may not be included in your insurance plan.
- Take advantage of special financing options tailored to your financial needs.
Applying for CareCredit is free and easy, with an instant decision upon submission. If approved, you can schedule your treatment immediately, even before receiving your card. CareCredit has helped more than 21 million patients finance their healthcare needs for nearly 30 years.
Other Payment Options
In addition to CareCredit, we accept:
- Cash
- Most debit cards
- All major credit cards
If you have any questions about payment or financing, please contact our office at (707) 864-1055, and we will be happy to assist you.