Forms & Financials

We accept Visa and MasterCard for payment, as well as checks and cash.

We are able to submit claims for dental treatment to all dental insurance companies.

Forms:
New Patient Form for Adults (PDF)
New Patient Form for Teens (PDF)
New Patient Form for Children (PDF)
Release Form (PDF)
Notice of Privacy Practices (PDF)
Acknowledgement of Privacy Rights (PDF)
Directions for bleaching your teeth at home (PDF)

Other forms coming soon.